Glencoe Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2327 Issued in AL

Legal business name

GLENCOE FAMILY CHIROPRACTIC, LLC

Practice address

528 Main St W
Glencoe, AL 35905-1060

Phone

(256) 390-6490

NPI assigned

Mar 19, 2012

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Kristin Hale, D.C.NPI 1255630273

Title

Owner

Phone

(256) 390-6490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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.

• Mary Kristin Hale, D.C.

  • Chiropractor
  • Glencoe, AL
  • NPI 1255630273
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1346515798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MAIN ST W",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051060",
            "telephone_number": "256-390-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MAIN ST W",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051060",
            "telephone_number": "256-390-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCOE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-390-6490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C.R. of Coosa Valley, LLC (Coosa Valley Health and Rehab)
• Coosa Nursing Adk, LLC (Coosa Valley Health Care)
• Coosa Valley SNF Operations LLC
• Carol Sue Costner, ALC
• Mary Kristin Hale, D.C.
• J & a Pharmacy of Glencoe Inc. (Alaco Discount Pharmacy)
• Jimmy W Bowlin Jr CRNP LLC
• Heather Lumpkin, CRNP
• Meadowood Retirement Village LLC

• Chiropractor in Glencoe, AL
• Providers in Glencoe, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.