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Organization

HEARTLINE MINISTRIES

Active
Other names
The Starting Place Birth and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
BETHANY JOHNSON CPM, LM (ADMINISTRATOR/MIDWIFE)
(254) 563-6255
Entity
Organization

Contact information

Practice address
720 N 3RD ST, TEMPLE, TX 76501-3159
(254) 563-6255
(254) 313-0136
Mailing address
720 N 3RD ST, TEMPLE, TX 76501-3159
(254) 563-6255
(254) 313-0136

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99417
LICENSED MIDWIFE
TX
01
99422
LICENSED MIDWIFE
TX
Enumeration date
04/29/2021
Last updated
04/29/2021
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