Provider Demographics
NPI:1053904706
Name:EMBRACE WOMEN'S HEALTH AND MIDWIFERY CARE LLC
Entity type:Organization
Organization Name:EMBRACE WOMEN'S HEALTH AND MIDWIFERY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:D
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-375-5287
Mailing Address - Street 1:PO BOX 2525
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-0752
Mailing Address - Country:US
Mailing Address - Phone:206-375-5287
Mailing Address - Fax:
Practice Address - Street 1:827 E COLONIAL AVE STE B
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-4644
Practice Address - Country:US
Practice Address - Phone:509-707-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-13
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty