Primghar Chiropractic Center Inc
Organization Active NPI Chiropractor · Primghar, IA
NPI 1295877520 · NPPES record last updated May 13, 2008
Key facts
- NPI
- 1295877520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06532 (IA)
- Legal business name
- PRIMGHAR CHIROPRACTIC CENTER INC
- Practice address
- 215 1St St NE
Box 178
Primghar, IA 51245 - Phone
- (712) 957-0102
- Fax
- (712) 957-0103
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Heather J Einck, D.C.
- Title
- President
- Phone
- (712) 957-0102
Practitioners 1
-
Heather Jo Einck, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070418000262 | IA | Part B Supplier - Clinic/Group Practice | 0143325217 |
Receives reassigned benefits from 1 practitioner Practice locations: Primghar, IA |
National Provider Directory
Locations
215 1st St NE
#178
Primghar, IA 51245
Phone (712) 957-0102
215 1st St NE
Primghar, IA 51245
Phone (712) 757-0102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06532 | IA | Yes |
Addresses
Primary practice location
215 1St St NE
Box 178
Primghar, IA 51245
Mailing address
215 1St St NE
Box 178
Primghar, IA 51245
Phone (712) 957-0102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31576 | Other | IA | BLUE CROSS BLUE SHIELD |
| DF6171 | Other | IA | RAILROAD MEDICARE |
| 0201797 | Medicaid | IA |
Other providers in Primghar, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. 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.