Healthcare Provider Details

I. General information

NPI: 1154225308
Provider Name (Legal Business Name): FAMILY BIRTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 N CENTRAL RD
LIBBY MT
59923-8913
US

IV. Provider business mailing address

529 N CENTRAL RD
LIBBY MT
59923-8913
US

V. Phone/Fax

Practice location:
  • Phone: 406-291-3292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MELISSA SIMMONS
Title or Position: BILLING MANAGER
Credential:
Phone: 863-447-5482