PRIMARY HEALTH CARE ASSOCIATES LLC (NPI# 1699289694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699289694 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CARE ASSOCIATES LLC |
| Other Organization Name | BACK CARE CLINIC |
| Practice Address |
5960 Howdershell Rd Ste 204 Hazelwood MO 63042-4103 |
| Practice Telephone | 3148951136 |
| Practice Fax Number | 3148955040 |
| Mailing Telephone | 3148951136 |
| Mailing Fax Number | 3148955040 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | DR. CHRISTINA MARIE LYNCH (OWNER) |
| Authorized Official Telephone | 3148951136 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2014035392 | MO | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2013032680 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CHIROPRACTIC | 2013032680 | 01 |
| MO | CHIROPRACTIC | 2014035392 | 01 |
| Other Name | Type Code |
|---|---|
| Back Care Clinic | Doing Business As Name - Organization |
| Street Address |
5960 HOWDERSHELL RD STE 204 |
| City | HAZELWOOD |
| State | MO |
| Zip Code | 63042-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750737060 | Kaitlyn Johnson | Chiropractor | 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 | 2016-05-05 |
| 1861967184 | Chad Smith | Chiropractor | 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 | 2018-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
| 1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
| 1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
| 1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
| 1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
| 1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| Find all providers in zip 63042 | ||||
| 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 |
|---|---|---|---|---|
| 1093244808 | Jessica Lauren Randazzo | Chiropractor | 5976 Howdershell Rd Ste 104, Hazelwood, MO 63042-4106 | 2017-06-06 |
| 1609304104 | Jeanetta Marie Wilkerson | Chiropractor | 320 Brookes Dr Ste 237, Hazelwood, MO 63042-2733 | 2017-05-27 |
| 1477688372 | North County Chiropractic & Rehab, LLC | Chiropractor | 7189 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2007-02-22 |
| 1306870464 | Michael James Wittmer | Chiropractor | 6307 Hazelwest Ct, Suite 200, Hazelwood, MO 63042-1739 | 2006-07-11 |
| 1396794988 | Adam B Elsey | Chiropractor | 7157 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2006-05-09 |
| 1275512592 | Dean Weich Inc | Chiropractor | 5960 Howdershell Road, Suite 204, Hazelwood, MO 63042 | 2006-01-13 |
| 1841287596 | Jerome Ernst Kock | Chiropractor | 5960 Howdershell Rd, Suite 204, Hazelwood, MO 63042-4100 | 2005-09-27 |
| 1861967184 | Chad Smith | Chiropractor | 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 | 2018-10-13 |
| 1073028510 | Cathryn Ferris | Chiropractor | 7157 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2017-12-06 |
| 1447701487 | Hannah Nicole Walker | Chiropractor | 6307 Hazelwest Ct, Hazelwood, MO 63042-1739 | 2016-10-14 |
| Find all providers in HAZELWOOD | ||||
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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.