13TH MOON MIDWIFERY – NPI #1295023893
Clinic/Center

13TH MOON MIDWIFERY is an AHC clinic located in FORT COLLINS, CO. NPPES has assigned the NPI number 1295023893 to 13TH MOON MIDWIFERY on July 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “13TH MOON MIDWIFERY” is a dba name, the actual legal business name for this organization is THIRTEENTH MOON MIDWIFERY. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was last updated on Nov 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 13TH MOON MIDWIFERY below.

NPI Profile for
THIRTEENTH MOON MIDWIFERY

NPI Number
1295023893
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THIRTEENTH MOON MIDWIFERY
Doing Business As (dba): 13TH MOON MIDWIFERY
Primary location
2614 W VINE DR
FORT COLLINS, CO 80521-1504
Phone: (970) 227-3555 Fax: (970) 822-0455
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL ROEDOCKER
CNM/OWNER
Phone: (970) 227-3555
Updated
Certification Date
Nov 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 13TH MOON MIDWIFERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO10788263
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 CO RN118053

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.