EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC


Address: 223 Gold St Uppr Unit, Juneau, AK 99801-1210
Phone: 9074199042

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
983 AK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK 1022737 05

Office Location

Street Address 223 GOLD ST UPPR UNIT
City JUNEAU
State AK
Zip Code 99801-1210

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558500694 Glacier Pediatrics, LLC Clinic/Center 1600 Glacier Ave, Juneau, AK 99801-1430 2009-02-12

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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
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Competitor

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City JUNEAU
Zip Code 99801

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Dataset Information

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.

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