SHALOM PRENATAL & BIRTHING SERVICES LLC (NPI# 1780977678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780977678 |
| Entity Type | Organization |
| Organization Name | SHALOM PRENATAL & BIRTHING SERVICES LLC |
| Practice Address |
5595 Sw Evanna Dr Mountain Home ID 83647-6401 |
| Mailing Address |
5595 Sw Evanna Dr Mountain Home ID 83647-6041 |
| Practice Telephone | 2085990300 |
| Mailing Telephone | 2085990300 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MRS. KAREN B MASHAK (MIDWIFE) |
| Authorized Official Telephone | 2085990300 |
| Authorized Official Credential | L.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
MIDGM-31 | ID | Ambulatory Health Care Facilities |
| Street Address |
5595 SW EVANNA DR |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689967150 | Karen Beatrice Mashak | Midwife | 5595 Sw Evanna Dr, Mountain Home, ID 83647-6041 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| 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 |
|---|---|---|---|---|
| 1972080810 | Boise River Birth Center and Womens Health | Clinic/Center | 182 W State St Ste B, Eagle, ID 83616-4959 | 2018-07-24 |
| 1386041028 | Motherwise Midwifery Service, LLC | Clinic/Center | 424 S Jefferson St, Moscow, ID 83843-2937 | 2014-11-24 |
| 1750514881 | Pend Oreille Midwifery Services | Clinic/Center | 723 Pine Street, Sandpoint, ID 83864 | 2009-08-24 |
| 1386297935 | Family Tree Midwifery, Inc. | Clinic/Center | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2019-07-23 |
| 1811407257 | National Birth Centers Inc | Clinic/Center | 2100 W Panama St, Boise, ID 83705-5120 | 2017-10-11 |
| 1912429234 | Ancient Paths Birth @ Wellness, LLC | Clinic/Center | 2201 N Government Way Ste C, Coeur D Alene, ID 83814-3658 | 2017-07-07 |
| 1861862534 | Mercy In Action Vineyard Inc | Clinic/Center | 3018 W Overland Rd, Boise, ID 83705-3059 | 2015-10-06 |
| 1780014753 | Boise Womens Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-11-12 |
| 1003243890 | Boise Women's Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-10-11 |
| 1508105149 | The Uma Center, LLC | Clinic/Center | 414 S Jefferson St, Moscow, ID 83843-2937 | 2013-02-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
Please comment or provide details below to improve the information on SHALOM PRENATAL & BIRTHING SERVICES LLC.
| 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.