MEDICARE: ZION BIRTHING MINISTRIES

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	MW45	FL

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
2	Y7431	OTHER	FL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992113617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION BIRTHING MINISTRIES

Provider Business Mailing Address
First Line	:	7950 S MILITARY TRL
Second Line	:	201
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8162
Country	:	US
Telephone Number	:	561-330-0993
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 S MILITARY TRL
Second Line	:	201
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8162
Country	:	US
Telephone Number	:	561-330-0993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CONNIE MULLEN
Credential	:	LICENSED MIDWIFE
Telephone Number	:	561-330-0993

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	07/25/2014

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Directions to “ZION BIRTHING MINISTRIES ” Practice Location

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