Bedlington Chiropractic Center Inc
Organization Active NPI Chiropractor · Everson, WA
NPI 1922211663 · NPPES record last updated Oct 6, 2010
Key facts
- NPI
- 1922211663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00002655 (WA)
- Legal business name
- BEDLINGTON CHIROPRACTIC CENTER INC
- Practice address
- 211 E Main St
Everson, WA 98247-0160 - Phone
- (360) 966-5844
- Fax
- (360) 966-7718
- NPI assigned
- May 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Raymond Alden Bedlington, DC
- Title
- Ceo Doctor
- Phone
- (360) 966-5844
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101006000193 | WA | Part B Supplier - Clinic/Group Practice | 2163614322 |
Receives reassigned benefits from 1 practitioner Practice locations: Everson, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH00002655 | WA | Yes |
Addresses
Primary practice location
211 E Main St
Everson, WA 98247-0160
Mailing address
PO Box 160
211 E Main St
Everson, WA 98247-0160
Phone (360) 966-5844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016178 | Medicaid | WA | |
| 602018128 | Other | WA | UBI |
Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 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.