CREEKSIDE CHIROPRACTIC CLINIC INC (NPI# 1598838450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598838450 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE CHIROPRACTIC CLINIC INC |
| Practice Address |
Rt 1 Box 104 Union WV 24983 |
| Practice Telephone | 3048326420 |
| Practice Fax Number | 3048326430 |
| Mailing Telephone | 3048326420 |
| Mailing Fax Number | 3048326430 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROY KEVIN HARVEY (OWNER) |
| Authorized Official Telephone | 3048326420 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006482 | 05 |
| Street Address |
RT 1 BOX 104 |
| City | UNION |
| State | WV |
| Zip Code | 24983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919279 | Holly Leigh Harvey | Chiropractor | Rt 1 Box 104, Union, WV 24983 | 2006-11-16 |
| 1922171891 | Roy Kevin Harvey | Chiropractor | Rt 1 Box 104, Union, WV 24983 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639578917 | Sarah Brackenrich | Specialist/Technologist | 330 Willow Bend Road, Union, WV 24983 | 2014-08-22 |
| 1699904409 | Katherine L Kilcollin, Dds Pllc | Dentist | 247 Health Center Drive, Union, WV 24983 | 2009-07-14 |
| 1427242882 | James Monroe Wellness Center | Family Medicine | 200 Health Center Dr, Union, WV 24983 | 2007-08-29 |
| 1598844748 | Mark C Kilcollin | Dentist | Health Center Drive, Health Center Building, Union, WV 24983 | 2006-11-06 |
| 1619987773 | Melinda Ann Mcconnell | Physical Therapist | 76 Bud Ridge Rd, Union, WV 24983 | 2006-08-09 |
| 1578563425 | Union Rescue & Monroe Transp Ambulance Service Inc | Ambulance | 78 Pump St, Union, WV 24983 | 2005-07-21 |
| 1548268980 | James H Wright | Family Medicine | 200 Health Center Drive, Union, WV 24983 | 2005-07-11 |
| 1518960111 | Greenbrier Medical Arts Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 335 S Main St, Union, WV 24983 | 2005-05-27 |
| 1508266172 | Suzanne F Meadows | Pharmacist | 100 Main Street, Union, WV 24983 | 2014-09-02 |
| 1295168979 | Keri Galford | Family Medicine | 620 School Street, Union, WV 24983 | 2013-08-16 |
| Find all providers in zip 24983 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689148 | James Rose | Chiropractor | 180 E Warren Dr, Union, WA 98592-9647 | 2018-08-16 |
| 1053667659 | Meridian Chiropractic | Chiropractor | 9990 Old Union Rd, Union, KY 41091-9066 | 2012-08-01 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1588959712 | Megan Elizabeth Goss | Chiropractor | 37 Saint Andrews Dr, Union, MO 63084-4946 | 2011-06-15 |
| 1962720151 | Krysta Lynette Mueller | Chiropractor | 37 Saint Andrews Drive, Union, MO 63084-4946 | 2010-05-12 |
| 1174855787 | Michael P Willemse | Chiropractor | 2414 Morris Ave Ste 101, Union, NJ 07083-5708 | 2010-02-06 |
| 1548490923 | Robert Alan Hervey | Chiropractor | 302 Us Highway 50 W Ste A, Union, MO 63084-1966 | 2009-07-21 |
| 1013162726 | Melinda Sue Cator-mead | Chiropractor | 181 South Main Street, Union, OR 97883 | 2008-11-21 |
| 1962660779 | Kimberly Ann Ciaramitaro | Chiropractor | 994 Bear Valley Rd, Union, MO 63084-4339 | 2008-05-28 |
| 1619134608 | Franklin County Chiropractic PC | Chiropractor | 100 Union Plaza Dr, Union, MO 63084-3145 | 2008-05-19 |
| Find all providers in UNION | ||||
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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.