Organization
COMMUNITY BIRTH CENTER
Active
Parent organization
MONTANA MIDWIVES COOPERATIVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTANA MIDWIVES COOPERATIVE
Authorized official
P. SHARISE SHARISE CLOSTIO CNM (PRESIDENT)
(406) 257-5616
Entity
Organization
Contact information
Practice address
1320 2ND AVE E, KALISPELL, MT 59901-5715
(406) 260-4455
Mailing address
1320 2ND AVE E, KALISPELL, MT 59901-5715
(406) 260-4455
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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