OrganizationActive
Creekside Birth Cottage
NPI 1679350698 · Midwife · Payson, AZ
Provider details
- NPI number
- 1679350698
- Entity type
- Organization
- Primary specialty
- MidwifeOther Service Providers
- Parent organization
- Creekside Midwifery LLC
- Organization subpart
- Yes
- Authorized official
- Lacey Tackett, Member(928) 951-6410
Specialties & taxonomies
Other Service Providers
Practice location
215 W Frontier St
Payson, AZ 85541-5318
Phone: (928) 951-6410
Approximate (ZIP-level) locationGet directions
Mailing address
215 W Frontier St
Payson, AZ 85541-5318
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.