Bedford Family Chiropractic Center, P.C.
Organization Active NPI Chiropractor · Bedford, PA
NPI 1093771966 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1093771966
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BEDFORD FAMILY CHIROPRACTIC CENTER, P.C.
- Practice address
- 153 Lingenfelter Rd
Bedford, PA 15522-6636 - Phone
- (814) 623-3300
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Molly J Fisher, D.C.
- Title
- Vice President
- Phone
- (814) 623-3300
Practitioners 2
-
Molly J Fisher, D.C.
-
Julie K Lesh-Wertz, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040316000653 | PA | Part B Supplier - Clinic/Group Practice | 5496645384 |
Receives reassigned benefits from 1 practitioner Practice locations: Bedford, PA |
National Provider Directory
Locations
153 Lingenfelter Rd
Bedford, PA 15522
Phone (814) 623-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
153 Lingenfelter Rd
Bedford, PA 15522-6636
Mailing address
153 Lingenfelter Rd
Bedford, PA 15522-6636
Phone (814) 623-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008748420001 | Medicaid | PA |
Other providers in Bedford, PA
- Bedford Area Ambulance Service
- Bedford Area School District
- Bedford Dental Health Center LLC
- Bedford Dental Professional Corp
- Bedford Dermatology
- Bedford Family Wellness LLC
- Bedford Medical Center
- Bedford Regional Foot & Ankle Care, LLC
- Bedford SNF Healthcare LLC
- Bedford Somerset Developmental and Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.