180 Health Lifestyle Wellness Centers
Organization Active NPI Chiropractor · Springfield, MO
NPI 1952467797 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1952467797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 180 HEALTH LIFESTYLE WELLNESS CENTERS
- Practice address
- 1934 S Glenstone Ave
Springfield, MO 65804-2305 - Phone
- (417) 887-0340
- Fax
- (417) 887-0445
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary L Meek, DC
- Title
- Owner
- Phone
- (417) 887-0340
Other NPIs on the same Medicare enrollment 1
Practitioners 14
-
Preston Burgess, DC
-
Anjuli Ellis, FNP
-
Rebecca Lee Pearson, D.C.
-
Gary L Meek, DC
-
Devin Bell, D.O.
-
Bailey Bowe, ATC
-
Meda Lilly, LMT
-
Crystal Dawn Smith, LMT
-
Steven Paul Baca, D.C.
-
Aimee L Labrie, DC
-
Steven D Loehr, DC
-
Kyle Wesley Jensen, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200214000060 | MO | Part B Supplier - Clinic/Group Practice | 1052747888 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Springfield, MO |
| O20200417001960 | MO | DME Supplier - Multi-Specialty - Physician | 1052747888 |
1 other NPI on this enrollment Practice locations: Springfield, MO |
National Provider Directory
Locations
1934 S Glenstone Ave
#180
Springfield, MO 65804
Phone (417) 887-0340
1934 S Glenstone Ave
Springfield, MO 65804
Phone (417) 887-0340
3014 E Sunshine St
Ste G
Springfield, MO 65804
Phone (417) 887-0340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1934 S Glenstone Ave
Springfield, MO 65804-2305
Mailing address
1934 S Glenstone Ave
Springfield, MO 65804-2305
Phone (417) 887-0340
Other names
- Meek Integrative Health Center
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. 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.