Groton Chiropractic Clinic, P.C.
Organization Active NPI Health Service Clinic/Center · Groton, SD
NPI 1780774166 · NPPES record last updated Apr 8, 2009
Key facts
- NPI
- 1780774166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 901 (SD)
- Legal business name
- GROTON CHIROPRACTIC CLINIC, P.C.
- Practice address
- 1205 North 1St Street
Groton, SD 57445-0199 - Phone
- (605) 397-8204
- Fax
- (605) 397-8324
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Jean McFarland-Kutter, D.C.
- Title
- President
- Phone
- (605) 397-8204
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040603000811 | SD | Part B Supplier - Clinic/Group Practice | 8426030446 |
Receives reassigned benefits from 1 practitioner Practice locations: Groton, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 901 | SD | Yes |
Addresses
Primary practice location
1205 North 1St Street
Groton, SD 57445-0199
Mailing address
PO Box 199
Groton, SD 57445-0199
Phone (605) 397-8204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005911 | Other | SD | BLUE CROSS BLUE SHIELD |
Other names
- Groton Chiropractic Clinic
Other providers in Groton, SD
- Chris D Forred
- Lori Louise Giedt
- Kathleen Jo Groeblinghoff
- Groton Area School District
- Groton Care and Rehabilitation Center LLC
- Groton Community Transit, Inc.
- Groton SD Skilled Nursing Facility LLC
- Joanne Carol Hairy Shirt
- Kelli Lynn Hanson
- Emily Junck
All providers in Groton, SD · Health Service Clinic/Center in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2009. 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.