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NPI Code Detail

MEDICARE: WINDSONG MIDWIFERY, LLC

MEDICARE: WINDSONG MIDWIFERY, 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
1261QB0400XBirthing Clinic/CenterFBC-004AK
2176B00000XMidwife31AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922315597
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDSONG MIDWIFERY, LLC
Provider Business Mailing Address
First Line : PO BOX 874553
Second Line :
City : WASILLA
State : AK
Zip : 99687-4553
Country : US
Telephone Number : 907-373-2672
Fax Number : 907-373-5417
Provider Business Practice Location Address
First Line : 5805 E COLUMBUS WAY
Second Line :
City : WASILLA
State : AK
Zip : 99654-7831
Country : US
Telephone Number : 907-373-2672
Fax Number : 907-373-5417
Authorized Official
Title or Position : OWNER
Name : MS. DEBORAH SCHNEIDER
Credential : CDM
Telephone Number : 907-373-2672
Provider Enumeration Date : 09/02/2010
Last Update Date : 09/12/2013

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Directions to “WINDSONG MIDWIFERY, LLC ” Practice Location

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