HEIRLOOM WELLNESS & BIRTH LLC NPI 1457659906

NPI Information

NPI: 1457659906
Provider Name: HEIRLOOM WELLNESS & BIRTH LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Former Legal Business Name: HERITAGE HEALTH AND BIRTH LLC
CLIA Number: 02D1011632
Address: 2323 S TRUNK RD
SUITE 6
PALMER, AK
ZIP 99645
Phone: (907) 746-6644

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NPI Details

HEIRLOOM WELLNESS & BIRTH LLC is a family medicine in Palmer, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEIRLOOM WELLNESS & BIRTH LLC NPI is 1457659906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Heritage Health And Birth Llc.

The provider's business location address is:

2323 S TRUNK RD
SUITE 6
PALMER, AK
ZIP 99645
Phone: (907) 746-6644
Fax: (317) 667-1982

The provider's authorized official is Kirsten A Gerrish .
The authorized official title is Owner/manager and has the following contact phone number (907) 746-6644.

The CLIA number assigned to this NPI record is 02D1011632 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 11/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	176B00000X	Midwife		No
2	261QB0400X	Clinic/Center	Birthing	No
3	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1657481	MEDICAID	ALASKA
2	1571890	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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