ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC (NPI# 1740816941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740816941 |
Entity Type | Organization |
Organization Name | ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC |
Practice Address |
115 1st St W # 3 Milaca MN 56353-1101 |
Practice Telephone | 3203627900 |
Practice Fax Number | 3203627904 |
Mailing Telephone | 3203627900 |
Enumeration Date | 2020-03-19 |
Last Update Date | 2020-04-02 |
Authorized Official Name | DR. KIP SMITH (OWNER) |
Authorized Official Telephone | 5072617202 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 111N00000X | Chiropractor | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 170123100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
Street Address |
115 1ST ST W # 3 |
City | MILACA |
State | MN |
Zip Code | 56353-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033467659 | Nancy Hansmeier | Occupational Therapist | 12101 120th Ave, Milaca, MN 56353 | 2012-08-29 |
1528345493 | Rum River Health Services, Inc. | Counselor | 640 3rd Street Ne, Milaca, MN 56353 | 2011-11-07 |
1720340102 | Morgan Rae Lasalle | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353 | 2012-06-12 |
1811914351 | Kimberly Ann Molacek | Optometrist | 132 2nd Ave Sw, Milaca, MN 56353 | 2006-07-17 |
1124103569 | Country Meadows of Milaca, Inc. | Assisted Living Facility | 740 2nd St. Se, Milaca, MN 56353-0157 | 2006-10-26 |
1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
1750472197 | Hobert Drugs Inc | Durable Medical Equipment & Medical Supplies | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-09-28 |
1811929896 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-07-07 |
1093088460 | Jayme Lynn Westling | Pharmacist | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2012-02-16 |
1699917682 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2009-04-06 |
Find all providers in zip 56353 |
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 |
---|---|---|---|---|
1003979865 | Christine Rose Schlenker | Chiropractor | 900 Highway 23 W, Suite 3, Milaca, MN 56353-1171 | 2006-12-19 |
1689733362 | Mille Lacs Chiropractics | Chiropractor | 1010 5th St Se, Milaca, MN 56353-1300 | 2006-12-08 |
1679643217 | Christopher L Johnson | Chiropractor | 105 Central Ave S, Milaca, MN 56353-1122 | 2006-11-09 |
1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
1417108531 | Mille Lacs Health System | Chiropractor | 1010 5th St Se, Milaca, MN 56353-1300 | 2008-10-07 |
1366635435 | C Johnson Inc | Chiropractor | 105 Central Ave S, Milaca, MN 56353-1122 | 2007-08-22 |
1164585931 | Natural Elements Health Center, Inc. | Chiropractor | 900 Highway 23 W, Suite 3, Milaca, MN 56353-1171 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
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.