Organization Active NPI

Chiropractic Health Center PSC

  • Clinic/Center
  • Owensboro, KY
National Provider Identifier
1669507661
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHIROPRACTIC HEALTH CENTER PSC
Practice address
4321 Gate Way
Owensboro, KY 42303-2500
Phone
(270) 685-4200
Fax
(270) 926-6697
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Sheila Diane Edwards
Title
Receptionist
Phone
(270) 685-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4321 Gate Way
Owensboro, KY 42303-2500

Mailing address

4321 Gate Way
Owensboro, KY 42303-2500
Phone (270) 685-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250927000244 KY Part B Supplier - Clinic/Group Practice 0941398572 Receives reassigned benefits from 1 practitioner
Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

4321 Gate Way
Owensboro, KY 42303
Phone (270) 685-4200

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1669507661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 GATE WAY",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032500",
            "telephone_number": "270-685-4200",
            "fax_number": "270-926-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 GATE WAY",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032500",
            "telephone_number": "270-685-4200",
            "fax_number": "270-926-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "270-685-4200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.