Organization
WILLOW MIDWIVES LTD
Active
Parent organization
WILLOW MIDWIVES LTD
Other names
Full Circle Wellness Clinic, Full Circle Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW MIDWIVES LTD
Authorized official
CHERYL A HEITKAMP (DIRECTOR)
(612) 345-5920
Entity
Organization
Contact information
Practice address
11 E VETERANS MEMORIAL HWY STE 102, KASSON, MN 55944-1716
(507) 634-6071
(844) 562-6828
Mailing address
11 E VETERANS MEMORIAL HWY STE 102, KASSON, MN 55944-1716
(507) 634-6071
(844) 562-6828
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
02/28/2020
Last updated
12/21/2020
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