Provider Demographics
NPI:1841008562
Name:HEARTSPACE MIDWIFERY, PLLC
Entity type:Organization
Organization Name:HEARTSPACE MIDWIFERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:518-588-7122
Mailing Address - Street 1:125 HIGH ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2307
Mailing Address - Country:US
Mailing Address - Phone:518-588-7122
Mailing Address - Fax:518-565-0609
Practice Address - Street 1:125 HIGH ROCK AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2307
Practice Address - Country:US
Practice Address - Phone:518-588-7122
Practice Address - Fax:518-565-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty