Sacred Space Midwifery
Organization Active NPI Birthing Clinic/Center · Union, MI
NPI 1245964170 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1245964170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Birthing Clinic/Center 261QB0400X
- Legal business name
- SACRED SPACE MIDWIFERY
- Practice address
- 16050 Wayne St.
Union, MI 49130 - Phone
- (574) 248-2485
- Fax
- (574) 319-7689
- NPI assigned
- Jul 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Shannon Star Garries, LM
- Title
- Owner/President
- Phone
- (574) 248-2485
Practitioners 2
-
Andrea Peckinpaugh, LM, CPM, BSM
National Provider Directory
Locations
16050 Wayne St
Union, MI 49130
Phone (574) 248-2485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | |||
| Birthing Clinic/Center | 261QB0400X | Yes |
Addresses
Primary practice location
16050 Wayne St.
Union, MI 49130
Mailing address
16050 Wayne St.
Union, MI 49130
Phone (574) 248-2485
Other providers in Union, MI
- Katherine Hughes
- New Song Community Wellness
- Andrea Peckinpaugh
- Stephanie Jo Price
- Southeast Public Safety Authority
All providers in Union, MI · Birthing Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.