Organization
MIDWIVES CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LYNN VINCENT CNM (OWNER)
(574) 400-2558
Entity
Organization
Contact information
Practice address
2930 MCKINLEY AVE, SOUTH BEND, IN 46615-2739
(574) 400-2558
(574) 400-2557
Mailing address
2930 MCKINLEY AVE, SOUTH BEND, IN 46615-2739
(574) 400-2558
(574) 400-2557
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000084A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000780816
BCBS
IN
05
—
200346930
—
IN
05
—
200965560
—
IN
Enumeration date
05/24/2016
Last updated
05/24/2016
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