LABOR OF LOVE MIDWIFERY LLC NPI 1821399460

NPI Information

NPI: 1821399460
Provider Name: LABOR OF LOVE MIDWIFERY, LLC
Classification: Midwife, Lay - 175M00000X
Entity Type: Organization

CLIA Number: 02D2016574

Address:
2405 S. KNIK GOOSE BAY ROAD
WASILLA, AK
ZIP 99654
Phone: (907) 841-2565
Get Directions

LABOR OF LOVE MIDWIFERY, LLC is a midwife lay in Wasilla, AK. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. LABOR OF LOVE MIDWIFERY, LLC NPI is 1821399460. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2405 S. KNIK GOOSE BAY ROAD
WASILLA, AK
ZIP 99654
Phone: (907) 841-2565
Fax: (888) 862-1422

The provider's authorized official is Peggy Jean Halsey .
The authorized official title is Director and has the following contact phone number (907) 841-2565.

The CLIA number assigned to this NPI record is 02D2016574 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 3/23/2018.

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	License Number	License State	Primary
1	175M00000X	Midwife, Lay		NM0044	ALASKA	Yes
2	261QB0400X	Clinic/Center	Birthing	FBC-014	ALASKA	No

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	1571125	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: 5/5/2024

NPI Synchronization or Removal

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