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ROCKY MOUNTAIN WOMENS CLINIC LLC NPI 1104436195


NPI Information

NPI: 1104436195
Provider Name: ROCKY MOUNTAIN WOMENS CLINIC LLC
Classification: Midwife - 176B00000X
Entity Type: Organization

CLIA Number: 13D2196423

Address:
2065 E 17TH ST STE A
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 497-0541
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ROCKY MOUNTAIN WOMENS CLINIC LLC is a midwife in Idaho Falls, ID. The provider is a Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. ROCKY MOUNTAIN WOMENS CLINIC LLC NPI is 1104436195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2065 E 17TH ST STE A
IDAHO FALLS, ID
ZIP 83404-042
Phone: (208) 497-0541
Fax: (208) 497-0873

The provider's authorized official is Kylee Johnson .
The authorized official title is Owner and has the following contact phone number (208) 497-0541.

The CLIA number assigned to this NPI record is 13D2196423 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2020 and was last updated on 11/2/2020.


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
1176B00000XMidwifeYes
2363LW0102XNurse PractitionerWomen's HealthNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.