| Elemental Birth, Llc | |
|
57 Cedar Ave Snohomish WA 98290-2929 | |
| (877) 869-6105 | |
| (360) 563-2662 |
| Full Name | Elemental Birth, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 57 Cedar Ave, Snohomish, Washington |
| Authorized Official Name and Position | Melissa A. Denmark (MIDWIFE/MANAGER/OWNER) |
| Authorized Official Contact | 2067245303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Birth, Llc 5719 Riverview Rd Snohomish WA 98290-5013 Ph: (877) 869-6105 | Elemental Birth, Llc 57 Cedar Ave Snohomish WA 98290-2929 Ph: (877) 869-6105 |
| NPI Number | 1912232992 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912232992 | NPI | - | NPPES |
| 7136716 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MW00000286 (Washington) | Primary |
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