MEDICARE: THE MIDWIVES BIRTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QB0400X	Birthing Clinic/Center

General Provider Information

NPI Number	:	1174651665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MIDWIVES BIRTH CENTER

Provider Business Mailing Address
First Line	:	1108 E NORTHERN LIGHTS BLVD
Second Line	:	STE C
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4219
Country	:	US
Telephone Number	:	907-349-3054
Fax Number	:

Provider Business Practice Location Address
First Line	:	1108 E NORTHERN LIGHTS BLVD
Second Line	:	STE C
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4219
Country	:	US
Telephone Number	:	907-349-3054
Fax Number	:

Authorized Official
Title or Position	:	BILLER
Name	:	ELIZABETH PAXTON STOUT
Credential	:
Telephone Number	:	907-349-3054

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/22/2020

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Directions to “THE MIDWIVES BIRTH CENTER ” Practice Location

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