Provider Demographics
NPI:1134996812
Name:BEAUTIFUL BEGINNINGS COMMUNITY BIRTH CENTER LLC
Entity type:Organization
Organization Name:BEAUTIFUL BEGINNINGS COMMUNITY BIRTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-394-3339
Mailing Address - Street 1:PO BOX 839
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-0839
Mailing Address - Country:US
Mailing Address - Phone:907-394-3339
Mailing Address - Fax:
Practice Address - Street 1:6800 E BOGARD ROAD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-394-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing