Provider Demographics
NPI:1174651665
Name:THE MIDWIVES BIRTH CENTER
Entity type:Organization
Organization Name:THE MIDWIVES BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:PAXTON
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-349-3054
Mailing Address - Street 1:1108 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4219
Mailing Address - Country:US
Mailing Address - Phone:907-349-3054
Mailing Address - Fax:
Practice Address - Street 1:1108 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:STE C
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4219
Practice Address - Country:US
Practice Address - Phone:907-349-3054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing