Organization · NPI-2

Heirloom Wellness & Birth LLC

Family Medicine · Palmer, AK

NPI number1457659906
StatusActive
Last updated in NPPESNov 16, 2021

Details

NPI
1457659906
Entity type
Organization (NPI-2)
Legal business name
Heirloom Wellness & Birth LLC
Organization subpart
No
Enumeration date
Mar 8, 2011
Certification date
Nov 16, 2021
Last updated
Nov 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
176B00000X Midwife––
261QB0400X Clinic/Center, Birthing––

Other names

  • Heirloom Birth Center, LLC (Other Name)
  • Heritage Health And Birth LLC (Former Legal Business Name)

Practice location

2323 S Trunk Rd
Suite 6
Palmer, AK 99645

Phone 907-746-6644 · Fax 317-667-1982

Mailing address

2323 S Trunk Rd
Suite 6
Palmer, AK 99645

Phone 907-746-6644 · Fax 317-667-1982

Authorized official

Kirsten A Gerrish
Owner/Manager
9077466644

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