Organization Active NPI

Coosa Valley Chiropractic, LLC

  • Chiropractor
  • Rome, GA
National Provider Identifier
1447598784
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COOSA VALLEY CHIROPRACTIC, LLC
Practice address
1301 E 2ND Ave SE
Rome, GA 30161-6460
Phone
(706) 236-9100
Fax
(706) 235-2834
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Vincent P Folan, DC
Title
Owner
Phone
(706) 236-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1301 E 2ND Ave SE
Rome, GA 30161-6460

Mailing address

PO Box 10
Silver Creek, GA 30173-0010
Phone (706) 236-9100

National Provider Directory

National Provider Directory

Locations

1301 E 2nd Ave SE
Rome, GA 30161
Phone (706) 236-9100

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1447598784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301730010",
            "telephone_number": "706-236-9100",
            "fax_number": "706-235-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 2ND AVE SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616460",
            "telephone_number": "706-236-9100",
            "fax_number": "706-235-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA VALLEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "FOLAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-236-9100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.