Provider Demographics
NPI:1083767511
Name:NATURAL HEALTH CENTER PC
Entity Type:Organization
Organization Name:NATURAL HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, ND, PHD
Authorized Official - Phone:712-243-2800
Mailing Address - Street 1:201 LINN ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022-1125
Mailing Address - Country:US
Mailing Address - Phone:712-243-2800
Mailing Address - Fax:712-243-3011
Practice Address - Street 1:201 LINN ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1125
Practice Address - Country:US
Practice Address - Phone:712-243-2800
Practice Address - Fax:712-243-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA066771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0790386Medicaid
IA0422147OtherMEDICAID PROVIDER
IA0790386Medicaid