MEDICARE: MRS. CHARITY CATLIN LM, CPM

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
1	176B00000X	Midwife	MID-64	ID
2	175M00000X	Lay Midwife	ACH-MID-LIC-1786	MT

Other Identifiers

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

General Provider Information

NPI Number	:	1730547084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARITY CATLIN LM, CPM

Provider Business Mailing Address
First Line	:	PO BOX 2355
Second Line	:
City	:	SANDPOINT
State	:	ID
Zip	:	83864-2355
Country	:	US
Telephone Number	:	208-627-8096
Fax Number	:	844-661-1057

Provider Business Practice Location Address
First Line	:	819 HIGHWAY 2 STE 214
Second Line	:
City	:	SANDPOINT
State	:	ID
Zip	:	83864-1678
Country	:	US
Telephone Number	:	208-627-8096
Fax Number	:	844-661-1057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2016
Last Update Date	:	12/05/2025

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