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Contact Information

MAT-SU BIRTH CENTER, LLC
5730 E PILGRIM COURT
WASILLA, AK99654-7824
 Phone: 907-373-3420
 Fax: 907-376-7847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Birthing

261QB0400X
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for MAT-SU BIRTH CENTER, LLC

NPI # 1629137799
LBN Legal business name MAT-SU BIRTH CENTER, LLC
Authorized official SUSANNA BIEDERMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 03/14/2023 - About 3 years ago
Identifiers
AK License # 366
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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