MAGIC VALLEY MIDWIFERY, LLC (NPI# 1457596769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457596769 |
| Entity Type | Organization |
| Organization Name | MAGIC VALLEY MIDWIFERY, LLC |
| Practice Address |
102 E Avenue F Jerome ID 83338-3133 |
| Mailing Address |
276 S 360 W Jerome ID 83338-6037 |
| Practice Telephone | 2083242778 |
| Practice Fax Number | 2083242778 |
| Mailing Telephone | 2083242778 |
| Mailing Fax Number | 2083242778 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |
| Authorized Official Name | MS. CONNIE JEAN WOLCOTT (CERTIFIED NURSE-MIDWIFE) |
| Authorized Official Telephone | 2083242778 |
| Authorized Official Credential | C.N.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
CNM-24A | ID | Ambulatory Health Care Facilities |
| Street Address |
102 E AVENUE F |
| City | JEROME |
| State | ID |
| Zip Code | 83338-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
Please comment or provide details below to improve the information on MAGIC VALLEY MIDWIFERY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.