Provider Demographics
NPI:1548624034
Name:NATURAL HEALTH CLINIC
Entity type:Organization
Organization Name:NATURAL HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-734-1560
Mailing Address - Street 1:1707 F ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3107
Mailing Address - Country:US
Mailing Address - Phone:360-734-1560
Mailing Address - Fax:360-734-3027
Practice Address - Street 1:1707 F ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3107
Practice Address - Country:US
Practice Address - Phone:360-734-1560
Practice Address - Fax:360-734-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001615175F00000X
WANT60307425175F00000X
WANT0000432175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1457698417Medicaid
WA1144370271Medicaid
WA1558546705Medicaid