Provider Demographics
NPI:1982856779
Name:MIDWEST HEALTH CENTER, PC
Entity Type:Organization
Organization Name:MIDWEST HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-243-5790
Mailing Address - Street 1:1101 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022-1812
Mailing Address - Country:US
Mailing Address - Phone:712-243-5790
Mailing Address - Fax:712-243-3975
Practice Address - Street 1:1101 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1812
Practice Address - Country:US
Practice Address - Phone:712-243-5790
Practice Address - Fax:712-243-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty