Organization Active NPI

Harchak Chiropractic Clinic LLC

  • Clinic/Center
  • Philipsburg, PA
National Provider Identifier
1609889237
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC003451L Issued in PA
Legal business name
HARCHAK CHIROPRACTIC CLINIC LLC
Practice address
1114 Walton St
Philipsburg, PA 16866-2748
Phone
(814) 342-3591
Fax
(814) 342-5815
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Susan I. Harchak, D.C.NPI 1679539431
Title
Owner
Phone
(814) 342-3591

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
Clinic/Center 261Q00000X DC003451L PA Primary

Addresses

Primary practice location

1114 Walton St
Philipsburg, PA 16866-2748

Mailing address

1114 Walton St
Philipsburg, PA 16866-2748
Phone (814) 342-3591

Other identifiers 1

IdentifierTypeStateIssuer
0011294660001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000403 PA Part B Supplier - Clinic/Group Practice 9537183595 Receives reassigned benefits from 2 practitioners
Practice locations: Philipsburg, PA

National Provider Directory

National Provider Directory

Locations

1114 Walton St
Philipsburg, PA 16866
Phone (814) 342-3591

Practitioners & affiliated clinicians

Practitioners 4

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1609889237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-342-3591",
            "fax_number": "814-342-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-342-3591",
            "fax_number": "814-342-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARCHAK CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "HARCHAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-342-3591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC003451L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011294660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.