Health 1St Chiropractic and Wellness Center, P.C.
Organization Active NPI Chiropractor · South St. Paul, MN
NPI 1548314792 · NPPES record last updated Aug 31, 2015
Key facts
- NPI
- 1548314792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4267 (MN)
- Legal business name
- HEALTH 1ST CHIROPRACTIC AND WELLNESS CENTER, P.C.
- Practice address
- 1020 Marie Avenue
South St. Paul, MN 55075 - Phone
- (651) 455-5463
- Fax
- (651) 455-9720
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Virginia A Rivas-Castro, D.C.
- Title
- Owner
- Phone
- (651) 455-5463
Practitioners 4
-
Larry Lee Estebo, D.C.
-
Michael Walter Schwartz, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100113000195 | MN | Part B Supplier - Clinic/Group Practice | 6406997469 |
Receives reassigned benefits from 1 practitioner Practice locations: Inver Grove Heights, MN |
National Provider Directory
Locations
2922 Upper 55th St
Inver Grove Heights, MN 55076
Phone (651) 455-5463
1020 Marie Ave
South St Paul, MN 55075
Phone (651) 455-5463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4267 | MN | Yes |
Addresses
Primary practice location
1020 Marie Avenue
South St. Paul, MN 55075
Mailing address
1020 Marie Avenue
South St Paul, MN 55075
Phone (651) 455-5463
Other names
- Premier Health of South St Paul, P.C.
Other providers in South St. Paul, MN
- Julie C Foote
- Bridget Ann Forbrook
- Frazier Recovery Services
- Emiliano Granados
- Solveig A Hansen
- Erin Nichole Hedstrom
- Linda F. Hernandez
- Chrissie Jo Holzer-Magness
- Housing & Redevelopment Authority of the City of South St. Paul
- Nasrin Islam
All providers in South St. Paul, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2015. 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.