NPIMap

Organization Active NPI

McIntosh Family Chiropractic

  • Chiropractor
  • McIntosh, MN
National Provider Identifier
1124223359
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4850 Issued in MN
Legal business name
MCINTOSH FAMILY CHIROPRACTIC
Practice address
250 Cleveland Ave
McIntosh, MN 56556
Phone
(218) 289-3478
Fax
(218) 563-2043
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Jodie Marie Osmonson, DC
Title
Chiropractor
Phone
(218) 289-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4850 MN Primary

Addresses

Primary practice location

250 Cleveland Ave
McIntosh, MN 56556

Mailing address

PO Box 182
250 Cleveland Ave
McIntosh, MN 56556
Phone (218) 289-3478

National Provider Directory

National Provider Directory

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1124223359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "address_2": "250 CLEVELAND AVE",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56556",
            "telephone_number": "218-289-3478",
            "fax_number": "218-563-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CLEVELAND AVE",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56556",
            "telephone_number": "218-289-3478",
            "fax_number": "218-563-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTOSH FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "OSMONSON",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "218-289-3478",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McIntosh, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.