Organization
MAT-SU BIRTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA BIEDERMAN (PRESIDENT)
(907) 373-3420
Entity
Organization
Contact information
Practice address
5730 E PILGRIM COURT, WASILLA, AK 99654-7824
(907) 373-3420
(907) 376-7847
Mailing address
5000 E SHENNUM DRIVE, WASILLA, AK 99654-7718
(907) 373-3420
(907) 376-7847
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
366
AK
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
03/14/2023
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