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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