NPIMap

Organization Active NPI

Shalom Prenatal & Birthing Services LLC

  • Birthing Clinic/Center
  • Mountain Home, ID
National Provider Identifier
1780977678
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
MIDGM-31 Issued in ID
Legal business name
SHALOM PRENATAL & BIRTHING SERVICES LLC
Practice address
5595 SW Evanna Dr
Mountain Home, ID 83647-6401
Phone
(208) 599-0300
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen B Mashak, L.M.NPI 1689967150
Title
Midwife
Phone
(208) 599-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X MIDGM-31 ID Primary

Addresses

Primary practice location

5595 SW Evanna Dr
Mountain Home, ID 83647-6401

Mailing address

5595 SW Evanna Dr
Mountain Home, ID 83647-6041
Phone (208) 599-0300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1780977678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 SW EVANNA DR",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836476041",
            "telephone_number": "208-599-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 SW EVANNA DR",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836476401",
            "telephone_number": "208-599-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PRENATAL & BIRTHING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MASHAK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "208-599-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "ID",
            "license": "MIDGM-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.