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NPI Code Detail

MEDICARE: CHARLESTON MIDWIFE SERVICES

MEDICARE: CHARLESTON MIDWIFE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center010773861SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255526141
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLESTON MIDWIFE SERVICES
Provider Business Mailing Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number : 843-818-1123
Fax Number : 843-818-1126
Provider Business Practice Location Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number : 843-818-1123
Fax Number : 843-818-1126
Authorized Official
Title or Position : OWNER
Name : LESLEY RATHBUN
Credential : CNM
Telephone Number : 843-818-1123
Provider Enumeration Date : 09/13/2007
Last Update Date : 03/24/2020

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Directions to “CHARLESTON MIDWIFE SERVICES ” Practice Location

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