Provider Demographics
NPI:1801438015
Name:RASNOW INTEGRATIVE WELLNESS INC
Entity type:Organization
Organization Name:RASNOW INTEGRATIVE WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASNOW-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-715-1119
Mailing Address - Street 1:10420 DANICHRIS WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757
Mailing Address - Country:US
Mailing Address - Phone:916-715-1119
Mailing Address - Fax:
Practice Address - Street 1:1102 CORPORATE WAY
Practice Address - Street 2:ST 170
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831
Practice Address - Country:US
Practice Address - Phone:916-623-4594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty