Healthcare Provider Details
I. General information
NPI: 1013718501
Provider Name (Legal Business Name): HIVE MIDWIFERY AND WOMEN'S HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
499 CHESTNUT ST
ASHLAND OR
97520-1546
US
IV. Provider business mailing address
499 CHESTNUT ST
ASHLAND OR
97520-1546
US
V. Phone/Fax
- Phone: 541-625-9371
- Fax: 458-658-5545
- Phone: 541-625-9371
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HANNAH
AUTUMN HAVERKAMP
TEASLEY
Title or Position: OWNER, CEO
Credential: CNM, FNP
Phone: 541-625-9371