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Organization

WOMEN & BIRTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA ANN MCINNIS CNM (PRESIDENT)
(801) 278-3102
Entity
Organization

Contact information

Practice address
2180 E 4500 S, STE 150, HOLLADAY, UT 84117
(801) 278-3102
(801) 278-3660
Mailing address
2180 E 4500 S, STE 150, HOLLADAY, UT 84117
(801) 278-3102
(801) 278-3660

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
47473784402
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47473784400001
BCBS
UT
01
72884
PEHP
UT
Enumeration date
11/09/2006
Last updated
08/22/2020
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