Provider Demographics
NPI:1437493145
Name:ORGANIC HOMEBIRTH LLC
Entity type:Organization
Organization Name:ORGANIC HOMEBIRTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:719-291-6704
Mailing Address - Street 1:6180 LEHMAN DR STE 103
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3459
Mailing Address - Country:US
Mailing Address - Phone:719-291-6704
Mailing Address - Fax:719-325-0242
Practice Address - Street 1:6180 LEHMAN DR STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3459
Practice Address - Country:US
Practice Address - Phone:719-291-6704
Practice Address - Fax:719-325-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty