Healthcare Provider Details

I. General information

NPI: 1679106751
Provider Name (Legal Business Name): BIRTH COTTAGE OF SALEM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 MAIN ST STE 1
SALEM NH
03079-3172
US

IV. Provider business mailing address

141 MAIN ST STE 1
SALEM NH
03079-3172
US

V. Phone/Fax

Practice location:
  • Phone: 603-458-2955
  • Fax: 855-407-4359
Mailing address:
  • Phone: 603-458-2955
  • Fax: 855-407-4359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADRIAN FELDHUSEN
Title or Position: OWNER, MIDWIFE
Credential: NHCM, CPM
Phone: 603-458-2955