Redfield Chiropractic PC

Organization Active NPI Chiropractor · Redfield, SD

NPI 1326634809 · NPPES record last updated Jan 28, 2021

Key facts

NPI
1326634809
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
REDFIELD CHIROPRACTIC PC
Practice address
615 N Main St
Redfield, SD 57469-1209
Phone
(605) 472-1405
Fax
(605) 472-1408
NPI assigned
Dec 18, 2020
Organization subpart
No

Authorized official

Name
Kate M Hartung
Title
Chiropractic Tech
Phone
(605) 472-1405

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210203002544 SD Part B Supplier - Clinic/Group Practice 9537573456 Receives reassigned benefits from 1 practitioner
Practice locations: Redfield, SD

National Provider Directory

Locations

615 N Main St
Redfield, SD 57469
Phone (605) 472-1405

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

615 N Main St
Redfield, SD 57469-1209

Mailing address

615 N Main St
Redfield, SD 57469-1209
Phone (605) 472-1405

Other providers in Redfield, SD

All providers in Redfield, SD · Chiropractor in South Dakota

Sources for this page

Verify at the official NPI Registry.