Healthcare Provider Details

I. General information

NPI: 1679498216
Provider Name (Legal Business Name): BEACON MIDWIFERY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 THOMAS JEFFERSON TER
ELKTON MD
21921-5145
US

IV. Provider business mailing address

143 THOMAS JEFFERSON TER
ELKTON MD
21921-5145
US

V. Phone/Fax

Practice location:
  • Phone: 443-907-2679
  • Fax:
Mailing address:
  • Phone: 443-907-2679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MADISON REESE
Title or Position: OWNER
Credential: CNM
Phone: 443-907-2679