Healthcare Provider Details

I. General information

NPI: 1528656881
Provider Name (Legal Business Name): APPLE TREE MIDWIFERY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6015 MOUNT RUSHMORE RD STE 2
RAPID CITY SD
57701-8962
US

IV. Provider business mailing address

6015 MOUNT RUSHMORE RD STE 2
RAPID CITY SD
57701-8962
US

V. Phone/Fax

Practice location:
  • Phone: 605-858-1269
  • Fax:
Mailing address:
  • Phone: 605-858-1269
  • Fax:

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: CASSIE APPLEGATE
Title or Position: CNM/OWNER
Credential: CNM
Phone: 605-858-1269