Organization
HAVEN MIDWIFERY AND BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHEL LYN BELISLE CDM, CPM (PRESIDENT)
(907) 444-3027
Entity
Organization
Contact information
Practice address
4050 LAKE OTIS PKWY STE 111, ANCHORAGE, AK 99508-5224
(907) 444-3027
(844) 621-5905
Mailing address
12901 VON SCHEBEN DR, ANCHORAGE, AK 99516-3268
(907) 444-3027
(844) 621-5905
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
105776
AK
261QB0400X
Birthing Clinic/Center
Primary
105776
AK
261QB0400X
Birthing Clinic/Center
126457
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022088
—
AK
05
—
1678481
—
AK
Enumeration date
04/04/2018
Last updated
03/14/2023
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