Healthcare Provider Details

I. General information

NPI: 1265328546
Provider Name (Legal Business Name): THE BIRTH NEST - MIDWIFERY & BIRTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 ORIOLE DR
FERGUS FALLS MN
56537-1266
US

IV. Provider business mailing address

124 ORIOLE DR
FERGUS FALLS MN
56537-1266
US

V. Phone/Fax

Practice location:
  • Phone: 218-531-1810
  • Fax: 833-228-5592
Mailing address:
  • Phone: 218-531-1810
  • Fax: 833-228-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANN MAIRE HINTZ
Title or Position: MIDWIFE
Credential: LM, CPM
Phone: 218-531-1810