Healthcare Provider Details

I. General information

NPI: 1144343443
Provider Name (Legal Business Name): MORNING STAR BIRTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 13TH ST SE
MENOMONIE WI
54751-2032
US

IV. Provider business mailing address

321 13TH ST SE
MENOMONIE WI
54751-2032
US

V. Phone/Fax

Practice location:
  • Phone: 715-231-3100
  • Fax: 715-231-3101
Mailing address:
  • Phone: 715-231-3100
  • Fax: 715-231-3101

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: PAULA ANN BERNINI FEIGAL
Title or Position: OWNER DIRECTOR
Credential: CPM
Phone: 715-231-3100