Organization Active NPI

Natural Health Care Center LLC

  • Chiropractor
  • Craig, CO
National Provider Identifier
1861723934
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4776 Issued in CO
Legal business name
NATURAL HEALTH CARE CENTER LLC
Practice address
450 Center St
Craig, CO 81625-1126
Phone
(970) 824-7744
Fax
(970) 824-7744
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rita J. Petersen, D.C.
Title
Managing Member
Phone
(970) 824-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4776 CO Primary

Addresses

Primary practice location

450 Center St
Craig, CO 81625-1126

Mailing address

450 Center St
Craig, CO 81625-1126
Phone (970) 824-7744

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherCOSSN
4776OtherCOLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000977 CO Part B Supplier - Clinic/Group Practice 7214123405 Receives reassigned benefits from 1 practitioner
Practice locations: Craig, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1861723934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTER ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251126",
            "telephone_number": "970-824-7744",
            "fax_number": "970-824-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CENTER ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251126",
            "telephone_number": "970-824-7744",
            "fax_number": "970-824-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-824-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4776",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.