Organization Active NPI

Intermountain Conservative Health Care Inc

  • Chiropractor
  • Plymouth, NH
National Provider Identifier
1508025875
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6731102 Issued in NH
Legal business name
INTERMOUNTAIN CONSERVATIVE HEALTH CARE INC
Practice address
178 Main St
Plymouth, NH 03264-1527
Phone
(603) 536-5566
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
James Pamplin, DCNPI 1790739597
Title
President
Phone
(603) 536-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6731102 NH Primary

Addresses

Primary practice location

178 Main St
Plymouth, NH 03264-1527

Mailing address

178 Main St
Plymouth, NH 03264-1527

Other names 1

  • Lakes Region Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000164 NH Part B Supplier - Clinic/Group Practice 7911073911 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, NH

National Provider Directory

National Provider Directory

Locations

178 Main St
Plymouth, NH 03264
Phone (603) 536-5566

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1508025875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MAIN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MAIN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641527",
            "telephone_number": "603-536-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN CONSERVATIVE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "PAMPLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-536-5566",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "6731102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Region Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.