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ST. MARY MEDICAL CENTER NPI 1043406440


NPI Information

NPI: 1043406440
Provider Name: ST. MARY MEDICAL CENTER

Doing Business As: PROVIDENCE ST. MARY MEDICAL CENTER

Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Organization
Address:
18077 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-8169
Get Directions

ST. MARY MEDICAL CENTER is an advanced practice midwife in Apple Valley, CA. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. ST. MARY MEDICAL CENTER NPI is 1043406440. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence St. Mary Medical Center.

The provider's business location address is:

18077 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307-150
Phone: (760) 946-8169
Fax: (760) 946-8875

The provider's authorized official is Randall Castillo .
The authorized official title is Chief Executive and has the following contact phone number (760) 946-8195.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 12/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367A00000XAdvanced Practice MidwifeNMW1225CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GNMW00060OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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