Organization Active NPI

Hometown Chiropractic

  • Chiropractor
  • Greenville, IL
National Provider Identifier
1265604755
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOMETOWN CHIROPRACTIC
Practice address
621 S 2ND St
Greenville, IL 62246-1744
Phone
(618) 664-0444
Fax
(618) 664-0454
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Vince Silas Coll Jr., D.C.
Title
Chiropractor
Phone
(618) 664-0444

Specialties & licenses 1

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

Addresses

Primary practice location

621 S 2ND St
Greenville, IL 62246-1744

Mailing address

621 S 2ND St
Greenville, IL 62246-1744
Phone (618) 664-0444

Other identifiers 1

IdentifierTypeStateIssuer
30340053OtherILB.C.B.S. PROVIDER #

National Provider Directory

National Provider Directory

Locations

621 S 2nd St
Greenville, IL 62246
Phone (618) 664-0075

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1265604755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 2ND ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461744",
            "telephone_number": "618-664-0444",
            "fax_number": "618-664-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 2ND ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461744",
            "telephone_number": "618-664-0444",
            "fax_number": "618-664-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "VINCE",
        "authorized_official_middle_name": "SILAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-664-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C.B.S. PROVIDER #",
            "identifier": "30340053",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.