Organization
MATRIARCH BIRTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDIE STONEKING (EXECUTIVE DIRECTOR)
(317) 645-6671
Entity
Organization
Contact information
Practice address
520 N RANGELINE RD, CARMEL, IN 46032-1344
(317) 645-6671
Mailing address
520 N RANGELINE RD, CARMEL, IN 46032-1344
(317) 645-6671
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
02/01/2021
Last updated
07/27/2022
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