NPIMap

Organization Active NPI

Health Centered of Scottsburg, Inc

  • Chiropractor
  • Scottsburg, IN
National Provider Identifier
1023344595
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001735A Issued in IN
Legal business name
HEALTH CENTERED OF SCOTTSBURG, INC
Practice address
40 E Cherry St
Scottsburg, IN 47170-1814
Phone
(812) 752-6202
Fax
(812) 752-9533
NPI assigned
Oct 19, 2009
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Mr. Scott E Craig, DCNPI 1528126695
Title
Owner/Provider
Phone
(812) 752-6202

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001735A IN Primary
Family Medicine Physician 207Q00000X 01056407A IN
Physical Therapist 225100000X 05005009A IN

Addresses

Primary practice location

40 E Cherry St
Scottsburg, IN 47170-1814

Mailing address

PO Box 256
Scottsburg, IN 47170-0256
Phone (812) 752-6202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000305 IN Part B Supplier - Clinic/Group Practice 5991831539 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsburg, IN

National Provider Directory

National Provider Directory

Locations

40 E Cherry St
Scottsburg, IN 47170
Phone (812) 752-6202

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1023344595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471700256",
            "telephone_number": "812-752-6202",
            "fax_number": "812-752-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E CHERRY ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701814",
            "telephone_number": "812-752-6202",
            "fax_number": "812-752-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTERED OF SCOTTSBURG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "812-752-6202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001735A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056407A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005009A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.