Organization
BLOOMIN' BABIES BIRTH CENTER, LLC
Active
Organization
BLOOMIN' BABIES BIRTH CENTER, LLC
Active
Other names
Bloomin' Babies Group
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY KANDIKO (CNM)
(970) 279-4545
Entity
Organization
Contact information
Practice address
2241 N 7TH ST, GRAND JUNCTION, CO 81501-7423
(970) 549-1711
Mailing address
2241 N 7TH ST, GRAND JUNCTION, CO 81501-7423
(970) 589-4143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62975862
—
CO
Enumeration date
10/14/2015
Last updated
01/22/2020
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