GEORGE CHIROPRACTIC CLINIC INC. (NPI# 1699856872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699856872 |
| Entity Type | Organization |
| Organization Name | GEORGE CHIROPRACTIC CLINIC INC. |
| Practice Address |
1718 N Falls Blvd Wynne AR 72396-0498 |
| Mailing Address |
Po Box 498 1718 N Falls Blvd Wynne AR 72396-0498 |
| Practice Telephone | 8702388707 |
| Practice Fax Number | 8702388711 |
| Mailing Telephone | 8702388707 |
| Mailing Fax Number | 8702388711 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH DEWAYNE GEORGE (DOCTOR OWNER) |
| Authorized Official Telephone | 8702388707 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
1452 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS AND BLUE SHIEL | 5T670 | 01 |
| Street Address |
1718 N FALLS BLVD |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-0498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1508211798 | Massage Clinic 7 | Clinic/Center | 8 Beauregard Dr, Little Rock, AR 72206-2722 | 2016-04-26 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1699183392 | Kaumeyer Chiropractic Center | Clinic/Center | 3145 Central Ave Ste B, Hot Springs, AR 71913-6171 | 2014-07-25 |
| 1578993291 | Healthcare Certifications, LLC | Clinic/Center | 3721 Idlewild Ave, North Little Rock, AR 72116-8237 | 2013-11-15 |
| 1760721492 | Revive Health and Wellness Pllc | Clinic/Center | 5309 Village Pkwy Ste 3, Rogers, AR 72758-8102 | 2013-01-31 |
| 1194901736 | Divine Medical Outreach Services | Clinic/Center | 5553 Springvale Rd, North Little Rock, AR 72116-3740 | 2008-01-14 |
| 1871622621 | Doc's Clinic and Institute, Plc | Clinic/Center | 4220 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-03-05 |
| 1700808755 | Northstar Partnering Group, LLC | Clinic/Center | 2458 E Joyce Blvd, Suite 1, Fayetteville, AR 72703-4519 | 2006-07-25 |
| 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.