Humboldt Spine & Rehab PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

007613 Issued in IA

Legal business name

HUMBOLDT SPINE & REHAB PC

Practice address

1201 6TH Ave N
Humboldt, IA 50548-1102

Phone

(515) 368-0086

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark Cirks, DCNPI 1336488170

Title

VP/Secretary

Phone

(515) 368-0086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Mark Cirks, DC

  • Chiropractor
  • Humboldt, IA
  • NPI 1336488170
  Medicare reassignment Care Compare group NPD Authorized official
• Mitchell Nielsen, DC

  • Chiropractor
  • Humboldt, IA
  • NPI 1982049516
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1578803599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 190TH ST",
            "city": "BRADGATE",
            "state": "IA",
            "postal_code": "505208710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 6TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481102",
            "telephone_number": "515-368-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT SPINE & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "CIRKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP/SECRETARY",
        "authorized_official_telephone_number": "515-368-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "007613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humboldt County Memorial Hospital (HCMH Walk-in Clinic)
• Humboldt County Memorial Hospital
• Humboldt County Memorial Hospital
• Humboldt County Memorial Hospital
• Humboldt County Memorial Hospital
• Humboldt Workshop
• Humboldt Workshop, Inc
• Humboldt Workshop, Inc.
• Humboldt Workshop, Inc.
• Hy-Vee Inc (Hy-Vee Pharmacy)

• Primary Care Clinic/Center in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.