Organization Active NPI

River Valley Clinic of Chiropractic, LLC

  • Clinic/Center
  • Princeton, IN
National Provider Identifier
1003604166
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVER VALLEY CLINIC OF CHIROPRACTIC, LLC
Practice address
113 S White Church Rd
Princeton, IN 47670-8106
Phone
(618) 240-0555
Fax
(618) 240-0555
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Tara Ellen Horrall, DCNPI 1376501569
Title
President
Phone
(618) 240-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

113 S White Church Rd
Princeton, IN 47670-8106

Mailing address

113 S White Church Rd
Princeton, IN 47670-8106
Phone (618) 240-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922000669 IN Part B Supplier - Clinic/Group Practice 9931603941 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, IN

National Provider Directory

National Provider Directory

Locations

113 S White Church Rd
Princeton, IN 47670
Phone (618) 240-0555

Practitioners & affiliated clinicians

Practitioners 1

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": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1003604166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S WHITE CHURCH RD",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476708106",
            "telephone_number": "618-240-0555",
            "fax_number": "618-240-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S WHITE CHURCH RD",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476708106",
            "telephone_number": "618-240-0555",
            "fax_number": "618-240-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY CLINIC OF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "HORRALL",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-240-0555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.