Organization
AGAPE BIRTH SERVICE AND BIRTH CENTER
Active
Organization
AGAPE BIRTH SERVICE AND BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RAE BARTLETT CPM. (OWNER)
(208) 745-7571
Entity
Organization
Contact information
Practice address
297 N 3855 EAST, RIGBY, ID 83442
(208) 745-7571
(208) 745-8924
Mailing address
297 N 3855 EAST, RIGBY, ID 83442
(208) 745-7571
(208) 745-8924
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MID-19
ID
176B00000X
Midwife
MID-38
ID
176B00000X
Midwife
MID-9
ID
261QB0400X
Birthing Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
NP868A
ID
Other
Enumeration date
09/24/2008
Last updated
04/10/2012
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