ROSE MOUNTAIN MIDWIFERY LLC (NPI# 1699320697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699320697 |
| Entity Type | Organization |
| Organization Name | ROSE MOUNTAIN MIDWIFERY LLC |
| Practice Address |
603 S Gillette Ave Gillette WY 82716-4205 |
| Practice Telephone | 4067818681 |
| Mailing Telephone | 4067818681 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | JACQUELINE LOPEZ (OWNER/MIDWIFE) |
| Authorized Official Telephone | 4067818681 |
| Authorized Official Credential | LM, CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| Street Address |
603 S GILLETTE AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578815551 | Jordan L. K. Malkowski | Physical Therapist | 603 S Gillette Ave, Gillette, WY 82716-4205 | 2012-10-15 |
| 1770106668 | Wellhouse, LLC | Physical Therapist | 603 S Gillette Ave, Gillette, WY 82716-4205 | 2020-05-26 |
| 1124468996 | Lee Colleen Sowada | Physical Therapist | 603 S Gillette Ave, Gillette, WY 82716-4205 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473826 | Sacred Birth LLC | Clinic/Center | 3146 Us Hwy 26, Lingle, WY 82223 | 2020-10-01 |
| 1497098172 | Birthing Traditions, LLC | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2013-04-01 |
| 1932728144 | Private Healthcare Facilities | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2020-04-09 |
| 1689293896 | Community Birth Group | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2020-04-09 |
| 1679104962 | Birthing Traditions, LLC | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2020-01-27 |
| 1407486830 | Journey Birth Services, LLC | Clinic/Center | 1012 Coburn Ave Apt 3, Worland, WY 82401-3430 | 2020-01-24 |
| 1922559194 | Edge Medical Services | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2016-10-21 |
| 1801347265 | Edge Medical Services | Clinic/Center | 854 Tweed Ln, Lander, WY 82520-9741 | 2016-10-20 |
| 1841749918 | Edge Medical Services | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2016-09-29 |
| 1316304017 | Nation Birth Center, Powell Wy | Clinic/Center | 751 Road 11, Powell, WY 82435-9131 | 2016-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.