Organization
MIRACLE MOMENTS MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA NICOLE GOODELL APRN CNM (OWNER CNM)
(620) 480-0115
Entity
Organization
Contact information
Practice address
910 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 361-6276
Mailing address
6526 S WARD PKWY, WICHITA, KS 67217-5962
(620) 480-0115
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
02/27/2024
Last updated
03/08/2024
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