Organization Active NPI

Active Care Wellness Center

Doing business as Active Care Family Chiropractic

  • Chiropractor
  • Stevensville, MT
National Provider Identifier
1336328616
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACTIVE CARE WELLNESS CENTER
Doing business as
Active Care Family Chiropractic
Practice address
212 Main St
Stevensville, MT 59870-2111
Phone
(406) 777-1048
NPI assigned
Nov 2, 2007
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Renee Christensen
Title
Office Manager
Phone
(406) 777-1048

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Chiropractor 111N00000X 1154 MT
Chiropractor 111N00000X Primary

Addresses

Primary practice location

212 Main St
Stevensville, MT 59870-2111

Mailing address

212 Main St
Stevensville, MT 59870-2111
Phone (406) 777-1048

Other names 1

  • Active Care Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000138 MT Part B Supplier - Clinic/Group Practice 7517042666 Receives reassigned benefits from 3 practitioners
Practice locations: Stevensville, MT

National Provider Directory

National Provider Directory

Locations

504 Main St
Stevensville, MT 59870
Phone (406) 396-6283

Interoperability endpoints

  • Direct secure messaging: amy@acfc0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1336328616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702111",
            "telephone_number": "406-777-1048",
            "fax_number": "406-777-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702111",
            "telephone_number": "406-777-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-777-1048"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1154",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Care Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.