1ST AVENUE CHIROPRACTIC, P.C. (NPI# 1366654543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366654543 |
Entity Type | Organization |
Organization Name | 1ST AVENUE CHIROPRACTIC, P.C. |
Practice Address |
611 1 St Ave Chiropractic Humboldt IA 50548 |
Practice Telephone | 5153325414 |
Practice Fax Number | 5153325415 |
Mailing Telephone | 5153325414 |
Mailing Fax Number | 5153325415 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHAEL E CROWLEY (CEO) |
Authorized Official Telephone | 5153325414 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | A5718 | IA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0279810 | 05 |
Street Address |
611 1 ST AVE CHIROPRACTIC |
City | HUMBOLDT |
State | IA |
Zip Code | 50548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
1093028045 | Cody Gene Olson | Dentist | 1101 13th St. N, Suite 1, North Park Family Dentistry, Humboldt, IA 50548 | 2010-07-20 |
1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
1346272705 | Harvey Evans PC | Dentist | 1014 15th St N, Humboldt, IA 50548 | 2006-07-07 |
1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
1255972477 | Humboldt County Memorial Hospital | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
Find all providers in zip 50548 |
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 |
---|---|---|---|---|
1568904415 | Saint Luke's Hospital of Allen County, Inc | Clinic/Center | 111 S 9th St, Humboldt, KS 66748-1809 | 2016-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
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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.