LONG CHIROPRACTIC INC (NPI# 1528288693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528288693 |
| Entity Type | Organization |
| Organization Name | LONG CHIROPRACTIC INC |
| Practice Address |
307 E Karsch Blvd Ste E Farmington MO 63640-1768 |
| Mailing Address |
307 East Karsch Blvd Ste E Farmington MO 63640-1203 |
| Practice Telephone | 5737601515 |
| Practice Fax Number | 5737600817 |
| Mailing Telephone | 5737601515 |
| Mailing Fax Number | 5737600817 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. LISA RENEE LONG (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 5737601515 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5812 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF MO | 105957 | 01 |
| MO | COVENTRY HEALTH | 10410T002 | 01 |
| MO | MERCY HEALTH PLANS | T2448 | 01 |
| Street Address |
307 E KARSCH BLVD STE E |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818731 | Lisa R Long | Chiropractor | 307 E Karsch Blvd, Farmington, MO 63640-1203 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1811532500 | Alpha Wave Health Centers LLC | Clinic/Center | 10 Waterside Dr Ste 101, Farmington, CT 06032-3056 | 2019-11-17 |
| 1548569718 | Avon Allies LLC | Clinic/Center | 2 Bridgewater Rd Ste 100, Farmington, CT 06032-2269 | 2011-03-27 |
| 1780821512 | Sunrise Chiropractic LLC | Clinic/Center | 626 East Main St, Ste 3, Farmington, NM 87401-7432 | 2009-01-15 |
| 1578750626 | Marcus Seywerd Chiropractic Ltd | Clinic/Center | 16798 Embers Ave, Farmington, MN 55024-7310 | 2007-10-02 |
| 1083688345 | Family Chiropractic Center, Pa | Clinic/Center | 20700 Chippendale Ave W Ste 7, Farmington, MN 55024-8206 | 2006-02-14 |
| 1003112822 | Allina Health System | Clinic/Center | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2011-01-27 |
| 1801106711 | Fairview Health Services | Clinic/Center | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 | 2010-10-13 |
| 1427120187 | Sunil G & Nilima P Chand | Clinic/Center | 1031 E Karsch Blvd, Farmington, MO 63640-3404 | 2006-11-15 |
| 1053407460 | Presbyterian Medical Services | Clinic/Center | 1001 W Broadway, Farmington, NM 87401-5638 | 2006-10-04 |
| 1538199112 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-07-03 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.