EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC (NPI# 1619333788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619333788 |
Entity Type | Organization |
Organization Name | EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC |
Practice Address |
223 Gold St Uppr Unit Juneau AK 99801-1210 |
Mailing Address |
411 W 12th St Juneau AK 99801-1521 |
Practice Telephone | 9074199042 |
Practice Fax Number | 9075868698 |
Mailing Telephone | 9074199042 |
Mailing Fax Number | 9075868698 |
Enumeration Date | 2016-01-05 |
Last Update Date | 2016-01-05 |
Authorized Official Name | MS. REBECCA MARIE VAN DE WATER (OWNER) |
Authorized Official Telephone | 9074199042 |
Authorized Official Credential | ANP, CNM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
983 | AK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1022737 | 05 |
Street Address |
223 GOLD ST UPPR UNIT |
City | JUNEAU |
State | AK |
Zip Code | 99801-1210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
Find all providers in zip 99801 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558500694 | Glacier Pediatrics, LLC | Clinic/Center | 1600 Glacier Ave, Juneau, AK 99801-1430 | 2009-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295361228 | Akins Mobile Health & Clinical Consultants, LLC | Clinic/Center | 2942 Gladys Marie Cir, Anchorage, AK 99516-1407 | 2020-03-22 |
1477029767 | Pacific Pediatrics, LLC | Clinic/Center | 3137 Tongass Ave # C, Ketchikan, AK 99901-5745 | 2018-10-15 |
1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
1467874933 | Now Health, LLC | Clinic/Center | 625 Cobb Street, Suite 201, Palmer, AK 99645 | 2014-01-17 |
1972894418 | Kim Thiele, Do, PC | Clinic/Center | 105 Trading Bay Dr, Suite 105, Kenai, AK 99611-7717 | 2011-05-02 |
1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
1821304379 | Manuka Health Clinic, LLC | Clinic/Center | 3685 Arctic Blvd, Anchorage, AK 99503-5704 | 2010-08-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.