Healthcare Provider Details

I. General information

NPI: 1437558699
Provider Name (Legal Business Name): WOMEN AND BIRTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 S 900 E 140
SALT LAKE CITY UT
84117-6600
US

IV. Provider business mailing address

5107 S 900 E 140
SALT LAKE CITY UT
84117-6600
US

V. Phone/Fax

Practice location:
  • Phone: 801-288-2229
  • Fax:
Mailing address:
  • Phone: 801-288-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number9111152-3400
License Number StateUT

VIII. Authorized Official

Name: REBECCA MCGINNIS
Title or Position: OWNER
Credential:
Phone: 801-288-2229