MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C. (NPI# 1134456031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134456031 |
| Entity Type | Organization |
| Organization Name | MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C. |
| Practice Address |
317 W 6th St Ste 206 Moscow ID 83843-2387 |
| Practice Telephone | 3107406141 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | DR. BAILEY LYNN SMITH (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 3107406141 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | ID | Chiropractic Providers | |
| Y | 111N00000X | Chiropractor | CHIA-1387 | ID | Chiropractic Providers |
| Street Address |
317 W 6TH ST STE 206 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558596734 | Bailey Lynn Smith | Chiropractor | 317 W 6th St Ste 206, Moscow, ID 83843-2387 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1205470754 | Scott Olin Short | Chiropractor | 619 S Washington St Ste 202, Moscow, ID 83843-3063 | 2019-10-28 |
| 1487900205 | Quality Chiropractic Center Pllc | Chiropractor | 619 S Washington St Ste 101, Moscow, ID 83843-3063 | 2012-07-30 |
| 1487986741 | Rocco G. Diana | Chiropractor | 1186 Church St., Moscow, PA 18444 | 2010-02-10 |
| 1285783530 | David W Morgan | Chiropractor | 102 S Washington, Moscow, ID 83843-2842 | 2007-01-09 |
| 1003985045 | Larry W Hammond | Chiropractor | 619 S Washington St., Suite 202, Moscow, ID 83843-3063 | 2006-11-06 |
| 1689688160 | Stephen A Pokowicz | Chiropractor | 1186 Church St, Moscow, PA 18444-9346 | 2006-07-28 |
| 1720003254 | Antony L Graham | Chiropractor | 1186 Church Street, Moscow, PA 18444 | 2006-07-13 |
| 1437116910 | Ann L Raymer | Chiropractor | 1246 W A St, Moscow, ID 83843-2277 | 2006-04-27 |
| 1992791982 | John R Sandell | Chiropractor | 325 W 3rd St, Moscow, ID 83843-2204 | 2005-09-23 |
| 1154965606 | Shorts Family Chiropractic | Chiropractor | 619 S Washington St Ste 202, Moscow, ID 83843-3063 | 2019-10-28 |
| Find all providers in MOSCOW | ||||
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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.