Organization
HEIRLOOM WELLNESS & BIRTH LLC
Active
Other names
Heirloom Birth Center, LLC, Heritage Health and Birth LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN A GERRISH CDM (OWNER/MANAGER)
(907) 746-6644
Entity
Organization
Contact information
Practice address
2323 S TRUNK RD, SUITE 6, PALMER, AK 99645
(907) 746-6644
(317) 667-1982
Mailing address
2323 S TRUNK RD, SUITE 6, PALMER, AK 99645
(907) 746-6644
(317) 667-1982
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571890
—
AK
05
—
1657481
—
AK
Enumeration date
03/08/2011
Last updated
11/16/2021
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