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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