GRANITE CITY CHIROPRACTIC, INC (NPI# 1790843324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790843324 |
| Entity Type | Organization |
| Organization Name | GRANITE CITY CHIROPRACTIC, INC |
| Other Organization Name | NEW RICHLAND CHIROPRACTIC |
| Practice Address |
131 South Broadway New Richland MN 56072 |
| Mailing Address |
Po Box 441 New Richland MN 56072-0441 |
| Practice Telephone | 5074633811 |
| Practice Fax Number | 5074633812 |
| Mailing Telephone | 5074633811 |
| Mailing Fax Number | 5074633812 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | DR. RAYMOND W MIELKE (PRESIDENT) |
| Authorized Official Telephone | 5074633811 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
1496 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 3KO36GR | 01 |
| Other Name | Type Code |
|---|---|
| New Richland Chiropractic | Doing Business As Name - Organization |
| Street Address |
131 SOUTH BROADWAY |
| City | NEW RICHLAND |
| State | MN |
| Zip Code | 56072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911415 | Main Street Dental Clinic of New Richland Pllp | Dentist | 132 North Broadway, New Richland, MN 56072 | 2006-02-15 |
| 1124020896 | Raymond W Mielke | Chiropractor | 131 Broadway Ave So, New Richland, MN 56072 | 2005-08-12 |
| 1033323001 | Ecumen | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2007-05-09 |
| 1659828382 | The Beacon At New Richland LLC | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2016-09-11 |
| 1790874147 | Ind School Dist 2168 Nrheg Public Schools | Local Education Agency (LEA) | 306 Ash Ave S, New Richland, MN 56072-1514 | 2006-10-12 |
| 1598053886 | James Hansen | Speech-Language Pathologist | 13485 Sw 102nd Ave, New Richland, MN 56072-1825 | 2011-07-20 |
| 1144215252 | New Richland Care Center | Skilled Nursing Facility | 312 1st St Ne, New Richland, MN 56072-2003 | 2005-09-14 |
| 1053303552 | City of New Richland | Ambulance | 203 Broadway Ave N, New Richland, MN 56072-2021 | 2005-08-19 |
| 1760424295 | New Richland Drug PC | Durable Medical Equipment & Medical Supplies | 112 Broadway Ave S, New Richland, MN 56072-2024 | 2006-06-11 |
| 1003022518 | Phoenix Group Homes, Inc. | Lodging | 20898 130th St, New Richland, MN 56072-3501 | 2007-05-14 |
| Find all providers in zip 56072 | ||||
| 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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| 1952931545 | Troy Consulting Services Inc. | Clinic/Center | 10971 County Road 53 E, Mizpah, MN 56660-9553 | 2020-01-22 |
| 1437799988 | Healthier People LLC | Clinic/Center | 5775 Wayzata Blvd Ste 700, St Louis Park, MN 55416-1233 | 2020-01-13 |
| 1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
| 1831748326 | Center for Autism Awareness and Support LLC | Clinic/Center | 2907 Clearwater Rd Ste 100, Saint Cloud, MN 56301-6191 | 2019-09-06 |
| 1679126668 | Arpai Health Services Pllc | Clinic/Center | 6199 147th Ave Nw, Ramsey, MN 55303-4815 | 2019-07-19 |
| 1760955017 | Ackerman Acupuncture LLC | Clinic/Center | 2331 108th Ln Ne Ste 140, Blaine, MN 55449-5271 | 2019-01-09 |
| 1255808143 | Group Health Plan Inc. | Clinic/Center | 410 Guernsey Ln, Red Wing, MN 55066-7448 | 2018-10-29 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW RICHLAND |
| Zip Code | 56072 |
Please comment or provide details below to improve the information on GRANITE CITY CHIROPRACTIC, INC.
| 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.