McClain Chiropractic Inc
Organization Active NPI Chiropractor · Calico Rock, AR
NPI 1770618852 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1770618852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1582 (AR)
- Legal business name
- MCCLAIN CHIROPRACTIC INC
- Practice address
- 201 Hwy 223 (JCT 56 &223)
Calico Rock, AR 72519-0373 - Phone
- (870) 297-2273
- Fax
- (870) 297-2274
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Shad Ashley McClain, D.C.
- Title
- President-Owner
- Phone
- (870) 297-2273
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Shad Ashley McClain, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160422000603 | AR | Part B Supplier - Clinic/Group Practice | 1052610292 |
Receives reassigned benefits from 1 practitioner Practice locations: Calico Rock, AR; Mountain Home, AR |
National Provider Directory
- Tax ID family
- McClain Chiropractic in
Locations
940 E 9th St
Ste 2
Mountain Home, AR 72653
Phone (870) 297-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1582 | AR | Yes |
Addresses
Primary practice location
201 Hwy 223 (JCT 56 &223)
Calico Rock, AR 72519-0373
Mailing address
PO Box 373
Calico Rock, AR 72519-0373
Phone (870) 297-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152317718 | Medicaid | AR |
Other providers in Calico Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. 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.