CAMACHO CHIROPRACTIC CLINIC LLC (NPI# 1174122527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174122527 |
| Entity Type | Organization |
| Organization Name | CAMACHO CHIROPRACTIC CLINIC LLC |
| Practice Address |
127 Frontier Way Sw Mattawa WA 99349-2092 |
| Practice Telephone | 5092037666 |
| Practice Fax Number | 5092037664 |
| Mailing Telephone | 5092037666 |
| Mailing Fax Number | 5092037664 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Authorized Official Name | DR. JUAN RAMON CAMACHO (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 5093055163 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
127 FRONTIER WAY SW |
| City | MATTAWA |
| State | WA |
| Zip Code | 99349-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396997086 | Elaine Marie Brewer | Massage Therapist | 210 Government Rd., Mattawa, WA 99349 | 2008-10-14 |
| 1629148440 | Arturo Rojas | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2006-11-09 |
| 1740363498 | Wahluke School District | Local Education Agency (LEA) | 411 E Saddle Mountain Drive, Mattawa, WA 99349 | 2006-10-23 |
| 1396384871 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2019-12-31 |
| 1003391848 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2018-09-27 |
| 1700314895 | Geraldine Cabero | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2017-06-01 |
| 1710232749 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2012-07-16 |
| 1053539890 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-24 |
| 1184842254 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-23 |
| 1033259064 | Columbia Basin Health Association | Pharmacist | 601 Government Way, Mattawa, WA 99349 | 2007-02-07 |
| Find all providers in zip 99349 | ||||
| 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 |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.