VALKOS CHIROPRACTIC OFFICE, LLC (NPI# 1194900936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194900936 |
Entity Type | Organization |
Organization Name | VALKOS CHIROPRACTIC OFFICE, LLC |
Practice Address |
106 S Washington St Lake City MN 55041-1034 |
Practice Telephone | 6513452785 |
Practice Fax Number | 6513455321 |
Mailing Telephone | 6513452785 |
Mailing Fax Number | 6513455321 |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |
Authorized Official Name | DR. DAVID VALKOS (CHIROPRACTOR/ OWNER) |
Authorized Official Telephone | 6513452785 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 002300 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS INDIVIDUAL # | 3D991VA | 01 |
MN | AETNA | 5668059 | 01 |
MN | 381328200 | 05 | |
MN | BCBS FACILITY # | 59660VA | 01 |
RAIL ROAD MEDICARE | 350053075 | 01 | |
MN | WAUSAU | 90144935 | 01 |
Street Address |
106 S WASHINGTON ST |
City | LAKE CITY |
State | MN |
Zip Code | 55041-1034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
1871945469 | Heidi Ann Eisenman | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041 | 2016-07-07 |
1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
1124638341 | Rebekah Richter | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-03 |
1225661416 | Patricia Elena Servin-hughes | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041-1143 | 2020-02-17 |
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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). |
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1205327939 | Neurology Center of North Florida, LLC | Clinic/Center | 426 Sw Commerce Dr Ste 101, Lake City, FL 32025-1506 | 2018-05-30 |
1568966414 | Serenity Alternative Healthcare & Acupuncture Center | Clinic/Center | 1009 Sw Main Blvd Ste 110, Lake City, FL 32025-5784 | 2018-03-23 |
1386957942 | Lake City Diagnostic Imaging, Inc. | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-07-23 |
1730275538 | Shands At Lake Shore Inc | Clinic/Center | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2006-10-05 |
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1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
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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.