Organization Active NPI

Integrated Healthcare Alliance

  • Chiropractor
  • Prineville, OR
National Provider Identifier
1902060320
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2203 Issued in OR
Legal business name
INTEGRATED HEALTHCARE ALLIANCE
Practice address
124 NW 2ND St
Prineville, OR 97754-1808
Phone
(541) 447-1043
Fax
(541) 447-1784
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Jill Bemis, D.C.NPI 1053575308
Title
President
Phone
(541) 447-1043

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2203 OR Primary

Addresses

Primary practice location

124 NW 2ND St
Prineville, OR 97754-1808

Mailing address

124 NW 2ND St
Prineville, OR 97754-1808
Phone (541) 447-1043

Other names 1

  • Bemis Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000077 OR Part B Supplier - Clinic/Group Practice 9133295728 Receives reassigned benefits from 2 practitioners
Practice locations: Prineville, OR

National Provider Directory

National Provider Directory

Locations

124 NW 2nd St
Prineville, OR 97754
Phone (541) 447-1042

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1902060320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NW 2ND ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541808",
            "telephone_number": "541-447-1043",
            "fax_number": "541-447-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW 2ND ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541808",
            "telephone_number": "541-447-1043",
            "fax_number": "541-447-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-447-1043",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bemis Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.

Verify at the official NPI Registry.