KOCH CHIROPRACTIC CLINIC LLC (NPI# 1407264419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407264419 |
| Entity Type | Organization |
| Organization Name | KOCH CHIROPRACTIC CLINIC LLC |
| Practice Address |
441 Broadway Imperial NE 69033-3162 |
| Mailing Address |
P.o. Box 696 Imperial NE 69033-0696 |
| Practice Telephone | 3088825532 |
| Mailing Telephone | 3088825532 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | DR. DANIEL KOCH (ORGANIZER AND AUTHORIZED REP.) |
| Authorized Official Telephone | 3088825532 |
| Authorized Official Credential | B.S., D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 1800 | NE | Managed Care Organizations |
| Street Address |
441 BROADWAY |
| City | IMPERIAL |
| State | NE |
| Zip Code | 69033-3162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144336 | Robert D. Longan | Chiropractor | 441 Broadway, Box 696, Imperial, NE 69033-0696 | 2005-06-16 |
| 1871905489 | Daniel James Edward Koch | Chiropractor | 441 Broadway, Imperial, NE 69033-3162 | 2014-05-30 |
| 1801002191 | Longan Chiropractic Clinic | Chiropractor | 441 Broadway, Box 696, Imperial, NE 69033-3162 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528340114 | Barry K Marshall | Physical Therapist | 600 West 12th St., Imperial, NE 69033 | 2011-09-09 |
| 1326329061 | Robert Joseph Killorin | Occupational Therapist | 933 Grant St., Imperial, NE 69033 | 2011-09-08 |
| 1285684779 | Nicole M Havel | Physician Assistant | 600 W 12th St, Imperial, NE 69033 | 2006-05-12 |
| 1871839720 | Mathews Family Chiropractic PC | Clinic/Center | 126 West 6th Street, Imperial, NE 69033-0404 | 2012-12-21 |
| 1508887886 | Dianne Harms | Pharmacist | 1324 Broadway, Imperial, NE 69033-0597 | 2006-07-21 |
| 1003914615 | Hometown Development | Pharmacy | 1324 Broadway, Imperial, NE 69033-0597 | 2006-09-20 |
| 1225030422 | County of Chase | Ambulance | 921 Broadway, Imperial, NE 69033-3012 | 2005-06-01 |
| 1083946008 | William Morales | Skilled Nursing Facility | 340 E 12th St, Imperial, NE 69033-3108 | 2010-02-01 |
| 1003840265 | Adams Drug Inc. | Pharmacy | 513 Broadway, Imperial, NE 69033-3119 | 2006-07-11 |
| 1104061761 | Weiss Chiropractic and Acupunture | Preferred Provider Organization | 530 Broadway, Imperial, NE 69033-3119 | 2008-12-11 |
| Find all providers in zip 69033 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104061761 | Weiss Chiropractic and Acupunture | Preferred Provider Organization | 530 Broadway, Imperial, NE 69033-3119 | 2008-12-11 |
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| 1417227240 | Peace Practice Psychology Center PC | Preferred Provider Organization | 1919 S 40th St, Ste 111, Lincoln, NE 68506-5243 | 2012-01-10 |
| 1639487424 | Ihle Chiropractic Center | Preferred Provider Organization | 3800 Central Ave, Kearney, NE 68847-8134 | 2010-09-15 |
| 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.