Provider Demographics
NPI:1336481001
Name:MORNING STAR BIRTH CENTER, INC
Entity Type:Organization
Organization Name:MORNING STAR BIRTH CENTER, INC
Other - Org Name:MORNING STAR BIRTH CENTER- ST. LOUIS PARK
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNINI FEIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-556-2822
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:
Mailing Address - Fax:
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:612-922-4784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing