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NPI Code Detail

MEDICARE: BIRTHWAYS MIDWIFERY CARE, LLC

MEDICARE: BIRTHWAYS MIDWIFERY CARE, LLC
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
1176B00000XMidwife

General Provider Information

NPI Number : 1578892634
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRTHWAYS MIDWIFERY CARE, LLC
Provider Business Mailing Address
First Line : 1108 E NORTHERN LIGHTS BLVD
Second Line : SUITE 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 : SUITE C
City : ANCHORAGE
State : AK
Zip : 99508-4219
Country : US
Telephone Number : 907-349-3054
Fax Number :
Authorized Official
Title or Position : DIRECT ENTRY MIDWIFE
Name : MS. LESHINE HERFINDAHL
Credential : C.D.M
Telephone Number : 907-349-3054
Provider Enumeration Date : 12/18/2009
Last Update Date : 12/18/2009

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Directions to “BIRTHWAYS MIDWIFERY CARE, LLC ” Practice Location

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