Provider Demographics
NPI:1578892634
Name:BIRTHWAYS MIDWIFERY CARE, LLC
Entity Type:Organization
Organization Name:BIRTHWAYS MIDWIFERY CARE, LLC
Other - Org Name:BIRTHWAYS MIDWIFERY CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECT ENTRY MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:LESHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERFINDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:CDM
Authorized Official - Phone:907-349-3054
Mailing Address - Street 1:1108 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 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:SUITE 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:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty