# BIRTHWISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558755694
- **Authorized official:** HEIDI FILLMORE CPM (ED)
- **Authorized official phone:** (207) 647-5968

## Contact information

- **Practice address:** 28 S HIGH ST, BRIDGTON, ME 04009-1110
- **Practice address phone:** (207) 647-5968
- **Mailing address:** 28 S HIGH ST, BRIDGTON, ME 04009-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2015
- **Last updated:** 03/26/2015