Provider Demographics
NPI:1558044800
Name:HER HEALTH WOMEN'S CENTER
Entity Type:Organization
Organization Name:HER HEALTH WOMEN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NATHANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-276-0237
Mailing Address - Street 1:5732 SUNNYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-4249
Mailing Address - Country:US
Mailing Address - Phone:712-276-0237
Mailing Address - Fax:
Practice Address - Street 1:5732 SUNNYBROOK DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4249
Practice Address - Country:US
Practice Address - Phone:712-276-0237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty