Provider Demographics
NPI:1619351582
Name:NATURAL FAMILY HEALTH INC.
Entity Type:Organization
Organization Name:NATURAL FAMILY HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:BS, DC
Authorized Official - Phone:208-448-4222
Mailing Address - Street 1:943 E. RIVER SPUR RD
Mailing Address - Street 2:
Mailing Address - City:PRIEST RIVER
Mailing Address - State:ID
Mailing Address - Zip Code:83856
Mailing Address - Country:US
Mailing Address - Phone:208-448-4222
Mailing Address - Fax:
Practice Address - Street 1:945 E RIVER SPUR
Practice Address - Street 2:
Practice Address - City:PRIEST RIVER
Practice Address - State:ID
Practice Address - Zip Code:83856-5070
Practice Address - Country:US
Practice Address - Phone:208-448-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA 1645261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service