Active NPI
Back Country Chiropractic and Wellness Center Inc.
- Sports Physician Chiropractor
- McCall, ID
National Provider Identifier
1861555286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIA578
- Legal business name
- BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
- Practice address
- 201 Park St.
McCall, ID 83638-1005 - Phone
- (208) 634-8129
- Fax
- (208) 634-7651
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irwin Mulnick, D.C.
- Title
- President
- Phone
- (208) 634-8129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | CHIA595 | ID | |
| Sports Physician Chiropractor | 111NS0005X | CHIA578 | ID | Primary |
Addresses
Primary practice location
201 Park St.
McCall, ID 83638-1005
Mailing address
201 Park Street
PO Box 1005
McCall, ID 83638
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C9446 | Other | ID | BLUE CROSS, UMA MULNICK |
| CHIA578 | Other | ID | IRWIN MULNICK LICENSE # |
| CHIA595 | Other | ID | UMA MULNICK, LICENSE # |
| C5782 | Other | ID | BLUE CROSS IRWIN MULNICK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- McCall, ID
- NPI 1083737472
-
- Internist Chiropractor
- McCall, ID
- NPI 1710103643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1861555286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK STREET",
"address_2": "PO BOX 1005",
"city": "MCCALL",
"state": "ID",
"postal_code": "83638",
"fax_number": "208-634-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PARK ST.",
"city": "MCCALL",
"state": "ID",
"postal_code": "836381005",
"telephone_number": "208-634-8129",
"fax_number": "208-634-7651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MULNICK",
"authorized_official_first_name": "IRWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-634-8129",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Internist",
"state": "ID",
"license": "CHIA595",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "ID",
"license": "CHIA578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS, UMA MULNICK",
"identifier": "C9446",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRWIN MULNICK LICENSE #",
"identifier": "CHIA578",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMA MULNICK, LICENSE #",
"identifier": "CHIA595",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS IRWIN MULNICK",
"identifier": "C5782",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.