Organization
NEW VILLAGE MIDWIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY ELLEN WHITE MIDWIFE (ADMINISTRATOR)
(573) 447-0282
Entity
Organization
Contact information
Practice address
1114 SUNSET LN, COLUMBIA, MO 65203-2253
(573) 356-1059
Mailing address
3406 N MOREAU RD, COLUMBIA, MO 65202-8618
(573) 447-0280
(573) 447-0282
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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