Provider Demographics
NPI:1275842627
Name:MORNING STAR BIRTH SERVICES, LLC
Entity Type:Organization
Organization Name:MORNING STAR BIRTH SERVICES, LLC
Other - Org Name:MORNING STAR WOMEN'S HEALTH AND BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BERNINI FEIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:612-922-4784
Mailing Address - Street 1:321 13TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2032
Mailing Address - Country:US
Mailing Address - Phone:715-231-3100
Mailing Address - Fax:715-231-3101
Practice Address - Street 1:6111 EXCELSIOR BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2703
Practice Address - Country:US
Practice Address - Phone:952-564-3260
Practice Address - Fax:952-564-3262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNING STAR BIRTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing