Basic Information
| Provider Information | |||||||||
| NPI: | 1023518503 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEART & HANDS MIDWIFERY AND FAMILY HEALTHCARE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3031 | ||||||||
| Address2: | |||||||||
| City: | KALISPELL | ||||||||
| State: | MT | ||||||||
| PostalCode: | 599033031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4067523239 | ||||||||
| FaxNumber: | 4067523252 | ||||||||
| Practice Location | |||||||||
| Address1: | 770 W RESERVE DR STE 3 | ||||||||
| Address2: | |||||||||
| City: | KALISPELL | ||||||||
| State: | MT | ||||||||
| PostalCode: | 599012130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4063004511 | ||||||||
| FaxNumber: | 4062580497 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2018 | ||||||||
| LastUpdateDate: | 05/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | NEWTON | ||||||||
| AuthorizedOfficialFirstName: | HONEY | ||||||||
| AuthorizedOfficialMiddleName: | MICHELLE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4062126000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 367A00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 0000036153 | 01 | BCBS OF MONTANA | OTHER |