Celina Chiropractic Care Inc
Organization Active NPI Clinic/Center · Celina, OH
NPI 1487642500 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1487642500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CELINA CHIROPRACTIC CARE INC
- Practice address
- 909 N Main St Ste B
Celina, OH 45822-1010 - Phone
- (419) 584-2225
- Fax
- (419) 584-1876
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Lorene Marie Lishness
- Title
- Office Manager
- Phone
- (419) 657-6262
Practitioners 2
-
Aaron C Pruitt, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051213000718 | OH | Part B Supplier - Clinic/Group Practice | 4082635453 |
Receives reassigned benefits from 2 practitioners Practice locations: Celina, OH |
National Provider Directory
Locations
125 E Forest St
Celina, OH 45822
Phone (419) 584-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | OH | ||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
909 N Main St Ste B
Celina, OH 45822-1010
Mailing address
909 N Main St Ste B
Celina, OH 45822-1010
Phone (419) 584-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831285196 | Other | DR PRUITT NPI | |
| 1124016373 | Other | DR VAN ARSDEL NPI | |
| 2385200 | Medicaid | OH |
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. 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.