Provider Demographics
NPI:1144358219
Name:BIRTH COTTAGE OF MILFORD
Entity type:Organization
Organization Name:BIRTH COTTAGE OF MILFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE- MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CNM, ARNP
Authorized Official - Phone:603-673-6010
Mailing Address - Street 1:4 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3724
Mailing Address - Country:US
Mailing Address - Phone:603-673-6010
Mailing Address - Fax:603-673-6014
Practice Address - Street 1:4 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3724
Practice Address - Country:US
Practice Address - Phone:603-673-6010
Practice Address - Fax:603-673-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing