Divinity Birth Services, LLC
Organization Active NPI Exclusive Provider Organization · Cottage Grove, WI
NPI 1841697992 · NPPES record last updated Dec 3, 2014
Key facts
- NPI
- 1841697992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 133-49 (WI)
- Legal business name
- DIVINITY BIRTH SERVICES, LLC
- Practice address
- 3074 Oak St
Cottage Grove, WI 53527-9511 - Phone
- (608) 469-1879
- NPI assigned
- Dec 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Danielle K Hauge, CPM, LM
- Title
- Owner, Licensed Midwife
- Phone
- (608) 469-1879
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 133-49 | WI | Yes |
Addresses
Primary practice location
3074 Oak St
Cottage Grove, WI 53527-9511
Mailing address
3074 Oak St
Cottage Grove, WI 53527-9511
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All providers in Cottage Grove, WI · Exclusive Provider Organization in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2014. 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.