St. Robert Chiropractic Center, Inc
Organization Active NPI Clinic/Center · Saint Robert, MO
NPI 1780915637 · NPPES record last updated Jan 15, 2010
Key facts
- NPI
- 1780915637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- CE06439 (MO)
- Legal business name
- ST. ROBERT CHIROPRACTIC CENTER, INC
- Practice address
- 1106 Old Route 66
Suite 2D
Saint Robert, MO 65584-4601 - Phone
- (573) 336-2230
- Fax
- (573) 336-4285
- NPI assigned
- Jan 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Sonja A Kamplain
- Title
- Office Administrator
- Phone
- (573) 336-2230
Practitioners 1
-
James Roy, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100305000229 | MO | Part B Supplier - Clinic/Group Practice | 2668517343 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Robert, MO |
National Provider Directory
Locations
1106 Old Route 66
Ste 2D
Saint Robert, MO 65584
Phone (573) 336-2230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CE06439 | MO | Yes |
Addresses
Primary practice location
1106 Old Route 66
Suite 2D
Saint Robert, MO 65584-4601
Mailing address
PO Box 797
Saint Robert, MO 65584-0797
Phone (573) 336-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350054388 | Other | RAILROAD MEDICRE |
Other providers in Saint Robert, MO
- Jesse Smith
- Lucinda Snyder
- South Central Missouri Community Health Center
- South Central Missouri Community Health Center
- Squared Away Veterans Express (Save)
- Catrina Jane Stark
- Tammy Renee Storie
- Samantha Jo Stork
- Jessica Summers
- Adam Y Taylor
All providers in Saint Robert, MO · Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2010. 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.