VANDECASTLE FAMILY CHIROPRACTIC CLINIC (NPI# 1871935429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871935429 |
| Entity Type | Organization |
| Organization Name | VANDECASTLE FAMILY CHIROPRACTIC CLINIC |
| Practice Address |
140 N. Townline Rd Wautoma WI 54982-0512 |
| Mailing Address |
Po Box 512 Wautoma WI 54982-0512 |
| Practice Telephone | 9207870122 |
| Practice Fax Number | 9207870091 |
| Mailing Telephone | 9207870122 |
| Mailing Fax Number | 9207870091 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | DR. MARK JAMES VANDECASTLE (OWNER) |
| Authorized Official Telephone | 9207870122 |
| 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 |
3211-12 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38885200 | 05 |
| Street Address |
140 N. TOWNLINE RD |
| City | WAUTOMA |
| State | WI |
| Zip Code | 54982-0512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649390352 | Mark James Vandecastle | Chiropractor | 140 N. Townline Rd, Wautoma, WI 54982-0246 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919506 | Virginia Ellen Moon | Counselor | 203 South 16th Court, Wautoma, WI 54982 | 2009-10-13 |
| 1528232832 | County of Waushara | Public Health or Welfare | 230 W. Park Street, Wautoma, WI 54982 | 2008-04-17 |
| 1770770125 | Waushara County Government | Case Management | 205 W Elm St, Wautoma, WI 54982 | 2007-10-01 |
| 1063606325 | Wautoma Area School District | Local Education Agency (LEA) | 556 S Cambridge St, Wautoma, WI 54982 | 2007-08-30 |
| 1013036433 | David J Brown | Dentist | 400 S Townline Road, Box 1440, Wautoma, WI 54982 | 2007-03-28 |
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1881767887 | Louis Francis Cooper | Psychologist | W7199 Chicago Road, Wautoma, WI 54982 | 2006-11-16 |
| 1902840069 | Ann E. Moore | Pharmacist | 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 | 2006-06-16 |
| 1790737443 | Waushara Industries, Inc. | Non-emergency Medical Transport (VAN) | 210 E Townline Rd, Wautoma, WI 54982 | 2006-05-17 |
| 1164414736 | Kim Ownby | Physician Assistant | N2934 Hwy 22 North, Wautoma, WI 54982 | 2005-08-18 |
| Find all providers in zip 54982 | ||||
| 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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| 1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
| 1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
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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.