Organization Active NPI

Access Health Management Inc

Doing business as Back & Neck Pain Relief Center

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1083807226
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000961A Issued in IN
Legal business name
ACCESS HEALTH MANAGEMENT INC
Doing business as
Back & Neck Pain Relief Center
Practice address
1710 W 3Rd St
Bloomington, IN 47404-5028
Phone
(812) 336-2225
Fax
(812) 336-5123
NPI assigned
Aug 21, 2007
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Helen Jane Fox
Title
President
Phone
(812) 336-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000961A IN Primary

Addresses

Primary practice location

1710 W 3Rd St
Bloomington, IN 47404-5028

Mailing address

1710 W 3Rd St
Bloomington, IN 47404-5028
Phone (812) 336-2225

Other identifiers 1

IdentifierTypeStateIssuer
200005510MedicaidIN

Other names 1

  • BACK & NECK PAIN RELIEF CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1083807226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045028",
            "telephone_number": "812-336-2225",
            "fax_number": "812-336-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045028",
            "telephone_number": "812-336-2225",
            "fax_number": "812-336-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-336-2225"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000961A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACK & NECK PAIN RELIEF CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.