CLARK D LUNDGREN DC LLC (NPI# 1023581808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023581808 |
| Entity Type | Organization |
| Organization Name | CLARK D LUNDGREN DC LLC |
| Other Organization Name | LUNDGREN CHIROPRACTIC & WELLNESS CLINIC LLC |
| Practice Address |
2401 Main Street East, Suite A Thompson Falls MT 59873-2401 |
| Mailing Address |
Po Box 2084 Thompson Falls MT 59873-2084 |
| Practice Telephone | 4068275500 |
| Practice Fax Number | 4068271986 |
| Mailing Telephone | 4068275500 |
| Mailing Fax Number | 4068271986 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | CLARK D LUNDGREN (MEMBER) |
| Authorized Official Telephone | 4068275500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS AND BLUE SHIELD OF MONTANA | 41726 | 01 |
| Other Name | Type Code |
|---|---|
| Lundgren Chiropractic & Wellness Clinic LLC | Doing Business As Name - Organization |
| Street Address |
2401 MAIN STREET EAST, SUITE A |
| City | THOMPSON FALLS |
| State | MT |
| Zip Code | 59873-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306110 | Trina Dawn Zak | Technician | 1227 Blue Slide Rd., Thompson Falls, MT 59873 | 2019-10-04 |
| 1760031918 | New Awareness Counseling Center Professional LLC | Counselor | 2806 Tradewinds Way, Thompson Falls, MT 59873 | 2019-09-10 |
| 1689188625 | Kimberly Dawn Sparks | Counselor | 171 The Harlow Road, Thompson Falls, MT 59873 | 2017-11-29 |
| 1629582747 | Kathryn Ann Ciraolo | Social Worker | 215 Adams Street, Po Box 2479, Thompson Falla, MT 59873 | 2017-11-28 |
| 1467826149 | Michele Manning | Counselor | 171 Harlow Rd, Thomason Falls, MT 59873 | 2015-11-18 |
| 1508299355 | Hayley S Allen-blakney | Social Worker | 2504 Tradewinds Way, Thompson Falls, MT 59873 | 2013-08-15 |
| 1407183577 | Lara Rochelle Krick | Counselor | 1119 Maiden Lane, Thompson Falls, MT 59873 | 2009-11-11 |
| 1497889224 | Cabinet Mountain Cooperative | Local Education Agency (LEA) | 307 3rd Ave W, Thompson Falls, MT 59873 | 2007-03-15 |
| 1912038167 | Christine Nowak | Counselor | 301 Main Street Suite #4, Thompson Falls, MT 59873 | 2007-03-08 |
| 1881759447 | County of Sanders | Registered Nurse | 1111 Main Street, Thompson Falls, MT 59873 | 2006-12-26 |
| Find all providers in zip 59873 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376639633 | Clark D Lundgren | Chiropractor | 2401 Main St E, Suite A, Thompson Falls, MT 59873 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277024 | Morgan Kumpula | Chiropractor | 235 N 1st St W Ste A, Missoula, MT 59802-3661 | 2020-08-25 |
| 1588288583 | Tyler Torkelson | Chiropractor | 515 S Reserve St Ste 3, Missoula, MT 59801-2125 | 2020-06-04 |
| 1679192355 | Garrett Clinton Irene | Chiropractor | 926 Main St Ste 15, Billings, MT 59105-3359 | 2020-04-13 |
| 1801421672 | Shayne Michael Durbin | Chiropractor | 2110 Overland Ave Ste 103, Billings, MT 59102-6440 | 2020-03-11 |
| 1174157200 | Xseed Chiropractic LLC | Chiropractor | 3576 Mt Highway 40 W, Columbia Falls, MT 59912 | 2020-02-27 |
| 1467082990 | Maggie Grace Quigley | Chiropractor | 5835 Us Highway 93 S, Whitefish, MT 59937-8414 | 2020-01-23 |
| 1023657632 | Erik Morrell | Chiropractor | 2405 W Main St Ste 8, Bozeman, MT 59718-3978 | 2019-12-30 |
| 1104462522 | Havre Chiropractic Clinic, LLC | Chiropractor | 1465 Us Highway 2 Nw Ste D, Havre, MT 59501-3423 | 2019-11-20 |
| 1235774241 | Highland Family Chiropractic, P.C. | Chiropractor | 128 W Granite St, Butte, MT 59701-9216 | 2019-11-13 |
| 1679116842 | Marcus Dobbins | Chiropractor | 62 S Last Chance Gulch Ste A, Helena, MT 59601-4149 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | THOMPSON FALLS |
| Zip Code | 59873 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.