Healthcare Provider Details

I. General information

NPI: 1851273635
Provider Name (Legal Business Name): GOLDEN HEART COMMUNITY MIDWIFERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 HENDERSON RD S # B
FAIRBANKS AK
99709-2415
US

IV. Provider business mailing address

424 HENDERSON RD S # B
FAIRBANKS AK
99709-2415
US

V. Phone/Fax

Practice location:
  • Phone: 907-799-0130
  • Fax: 844-501-6739
Mailing address:
  • Phone: 907-799-0130
  • Fax: 844-501-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: MELANIE SIPES
Title or Position: MIDWIFE/OWNER
Credential: CDM, CPM
Phone: 907-799-0130