Organization Active NPI

Hoganson Chiropractic Center, PA

  • Health Service Clinic/Center
  • Marshall, MN
National Provider Identifier
1679769608
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOGANSON CHIROPRACTIC CENTER, PA
Practice address
1307 E College Dr
Marshall, MN 56258-3500
Phone
(507) 537-0307
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mrs. Debra Hoganson
Title
Office Manager/Owner
Phone
(507) 537-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1307 E College Dr
Marshall, MN 56258-3500

Mailing address

1307 E College Dr
Marshall, MN 56258-3500
Phone (507) 537-0307

Other identifiers 1

IdentifierTypeStateIssuer
81992HOOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000464 MN Part B Supplier - Clinic/Group Practice 8921195215 Receives reassigned benefits from 1 practitioner
Practice locations: Marshall, MN

National Provider Directory

National Provider Directory

Locations

1307 E College Dr
Marshall, MN 56258
Phone (507) 537-0307

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1679769608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583500",
            "telephone_number": "507-537-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583500",
            "telephone_number": "507-537-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGANSON CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HOGANSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "507-537-0307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81992HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.