<Unavail>

LBN: Thirteenth Moon Midwifery
<Unavail> is an health care organization with primary practice located at 2614 W Vine Dr , Fort Collins CO 80521-1504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Thirteenth Moon Midwifery can be contacted via phone (970) 227-3555, or through Roedocker, Carol via phone (970) 227-3555.

Contact Information

Primary practice address
2614 W Vine Dr Fort Collins CO 80521-1504
Phone: (970) 227-3555
Fax: (970) 822-0455
Website:
Map and Directions
Authorized official contact:
Name: Roedocker, Carol
Phone: (970) 227-3555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X RN118053 Colorado

Profile Details

NPI number 1295023893
LBN Legal business name Thirteenth Moon Midwifery
DBA Doing business as <Unavail>
Authorized official Roedocker, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2011
Last updated Nov 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295023893 NPPES
Colorado MEDICAID 10788263

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