Healthcare Provider Details
I. General information
NPI: 1053018341
Provider Name (Legal Business Name): WORCESTER COMMUNITY MIDWIFERY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2023
Last Update Date: 04/16/2023
Certification Date: 04/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
70 JAMES ST STE 253
WORCESTER MA
01603-1038
US
IV. Provider business mailing address
32 PARTRIDGE HILL RD
DUDLEY MA
01571-6200
US
V. Phone/Fax
- Phone: 508-578-2010
- Fax: 508-578-2012
- Phone: 508-578-2010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
RACHEL
ANN
BLESSINGTON
Title or Position: OWNER
Credential: CNM
Phone: 508-873-9023