RUSSELL MAXWELL DC PS


Address: 805 W Orchard Dr, Suite 1, Bellingham, WA 98225-1759
Phone: 3606474438

RUSSELL MAXWELL DC PS (NPI# 1508116146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508116146
Entity Type Organization
Organization Name RUSSELL MAXWELL DC PS
Practice Address 805 W Orchard Dr
Suite 1
Bellingham
WA 98225-1759
Practice Telephone 3606474438
Practice Fax Number 3605278144
Mailing Telephone 3606474438
Mailing Fax Number 3605278144
Enumeration Date 2012-09-11
Last Update Date 2014-06-23
Authorized Official Name RUSSELL STANLEY MAXWELL (CHIROPRACTIC)
Authorized Official Telephone 3606474438
Authorized Official Credential D.C., P.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
CH00002961 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 2029338 05

Office Location

Street Address 805 W ORCHARD DR
SUITE 1
City BELLINGHAM
State WA
Zip Code 98225-1759

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City BELLINGHAM
Zip Code 98225

Improve Information

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Dataset Information

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.

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