NPIMap

Organization Active NPI

Health Source of Great Bend Inc

  • Chiropractor
  • Great Bend, PA
National Provider Identifier
1770766958
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008738 Issued in PA
Legal business name
HEALTH SOURCE OF GREAT BEND INC
Practice address
325 Main St
Great Bend, PA 18821-9753
Phone
(570) 879-2979
Fax
(570) 879-5044
NPI assigned
Dec 11, 2007
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. George H Stover III, DCNPI 1144322330
Title
Owner
Phone
(570) 879-2979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008738 PA Primary

Addresses

Primary practice location

325 Main St
Great Bend, PA 18821-9753

Mailing address

325 Main St
PO Box 825
Great Bend, PA 18821-9753
Phone (570) 879-2979

National Provider Directory

National Provider Directory

Locations

325 Main St
#825
Great Bend, PA 18821
Phone (570) 879-2979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1770766958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "address_2": "PO BOX 825",
            "city": "GREAT BEND",
            "state": "PA",
            "postal_code": "188219753",
            "telephone_number": "570-879-2979",
            "fax_number": "570-879-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "city": "GREAT BEND",
            "state": "PA",
            "postal_code": "188219753",
            "telephone_number": "570-879-2979",
            "fax_number": "570-879-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE OF GREAT BEND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-879-2979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.