15Th Street Chiropractic Pc in Great Falls - Clinic/center

15Th Street Chiropractic Pc - NPI 1073786653

15Th Street Chiropractic Pc is a Clinic/center in Great Falls, Montana. 15Th Street Chiropractic Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for 15Th Street Chiropractic Pc is 1073786653. The last update date is 2008-04-03.

15Th Street Chiropractic Pc's current location address is 222 15th St S, Great Falls, Montana. You can contact this provider via phone number 4067711222 and fax number 4067711225. The mailing address for 15Th Street Chiropractic Pc is 222 15th St S, Great Falls, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization 15Th Street Chiropractic Pc
Address 222 15th St S, Great Falls, Montana
Phone Number 4067711222
Fax Number 4067711225
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hertenstein W Mark
Credentials DC
Telephone Number 4067711222

NPI Number Detail

NPI Number 1073786653
Provider Enumeration Date 2008-04-03
Last Updated Date 2008-04-03

Provider Mailing Address Detail

Address 222 15th St S
City Great Falls
State Montana (MT)
Post Code 594052459
Phone Number 4067711222
Fax Number 4067711225

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 537
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
164398 MT --
40763 MT BLUE CROSS/BLUE SHIELD

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FAQs about 15Th Street Chiropractic Pc

What is the unique 10-digit identifier code issued to 15Th Street Chiropractic Pc by the Centers for Medicare & Medicaid Services?

The 15Th Street Chiropractic Pc has been assigned the NPI (National Provider Identifier) 1073786653 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the 15Th Street Chiropractic Pc located?

The 15Th Street Chiropractic Pc is located at 222 15Th St S, Great Falls, MT 594052459.

What is 15Th Street Chiropractic Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for 15Th Street Chiropractic Pc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.

On what date did the 15Th Street Chiropractic Pc receive the assignment of its 1073786653 from the Centers for Medicare & Medicaid Services?

The 15Th Street Chiropractic Pc was issued its 1073786653 by the Centers for Medicare & Medicaid Services on 2008-04-03.

As of what date were the details related to 15Th Street Chiropractic Pc most recently updated or revised?

The information pertaining to 15Th Street Chiropractic Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-03.

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