15TH STREET CHIROPRACTIC PC (NPI# 1073786653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073786653 |
| Entity Type | Organization |
| Organization Name | 15TH STREET CHIROPRACTIC PC |
| Practice Address |
222 15th St S Suite C Great Falls MT 59405-2459 |
| Practice Telephone | 4067711222 |
| Practice Fax Number | 4067711225 |
| Mailing Telephone | 4067711222 |
| Mailing Fax Number | 4067711225 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | DR. MARK W HERTENSTEIN (OWNER) |
| Authorized Official Telephone | 4067711222 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 537 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0164398 | 05 | |
| MT | BLUE CROSS/BLUE SHIELD | 40763 | 01 |
| Street Address |
222 15TH ST S SUITE C |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114030814 | Mark Hertenstein | Chiropractor | 222 15th St S, Suite C, Great Falls, MT 59405-2459 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225337504 | Ace Medical Care LLC | Clinic/Center | 9845 Georgetown Pike, Great Falls, VA 22066-2617 | 2011-03-25 |
| 1003329400 | Ideal Telemedicine Services, LLC | Clinic/Center | 401 15th Ave S Ste 109, Great Falls, MT 59405-4334 | 2017-11-08 |
| 1841719598 | Central Montana Heart & Vascular Institute LLC | Clinic/Center | 401 15th Ave S Ste 202, Great Falls, MT 59405-4334 | 2017-09-13 |
| 1316468408 | Seattle Children's Hospital | Clinic/Center | 2510 Bobcat Way, Great Falls, MT 59405 | 2017-06-29 |
| 1003150814 | Indian Family Health Clinic | Clinic/Center | 1220 Central Ave, Ste. 1b, Great Falls, MT 59401-3764 | 2012-11-16 |
| 1023155611 | Inner Reflections Healthcare | Clinic/Center | 1701 Central Ave, Great Falls, MT 59401-3839 | 2007-01-31 |
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|---|---|---|---|---|
| 1104423185 | Rising Phoenix Counseling Solutions | Clinic/Center | 210 N Higgins Ave Ste 222, Missoula, MT 59802-4443 | 2020-10-03 |
| 1790327302 | Cosmos Therapy Solutions, LLC | Clinic/Center | 715 Kensington Ave Ste 14, Missoula, MT 59801-5700 | 2019-10-15 |
| 1902448897 | Livingston Healthcare | Clinic/Center | 1429 W Montana St, Livingston, MT 59047-1530 | 2019-10-11 |
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| 1467006049 | Livingston Healthcare | Clinic/Center | 102 View Vista Dr, Livingston, MT 59047-3528 | 2019-07-31 |
| 1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1295214294 | Wholistic Healing | Clinic/Center | 104 Main St Sw, Ronan, MT 59864-2703 | 2018-08-09 |
| 1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
| 1295254621 | Casterline Family Chiropractic LLC | Clinic/Center | 54171 Us Highway 2, Glasgow, MT 59230-1544 | 2017-09-18 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.