Healthcare Provider Details

I. General information

NPI: 1437493145
Provider Name (Legal Business Name): ORGANIC HOMEBIRTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 LEHMAN DR STE 103
COLORADO SPRINGS CO
80918-3459
US

IV. Provider business mailing address

6180 LEHMAN DR STE 103
COLORADO SPRINGS CO
80918-3459
US

V. Phone/Fax

Practice location:
  • Phone: 719-291-6704
  • Fax: 719-325-0242
Mailing address:
  • Phone: 719-291-6704
  • Fax: 719-325-0242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: EMILY FAITH THOMPSON
Title or Position: OWNER/MIDWIFE
Credential: CPM
Phone: 719-291-6704