1st Avenue Chiropractic, P.c. | |
611 1 St Ave Chiropractic Humboldt IA 50548 | |
(515) 332-5414 | |
(515) 332-5415 |
Full Name | 1st Avenue Chiropractic, P.c. |
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Speciality | Clinic/Center |
Location | 611 1 St Ave Chiropractic, Humboldt, Iowa |
Authorized Official Name and Position | Michael E Crowley (CEO) |
Authorized Official Contact | 5153325414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1st Avenue Chiropractic, P.c. 611 1 St Ave Chiropractic Humboldt IA 50548 Ph: (515) 332-5414 | 1st Avenue Chiropractic, P.c. 611 1 St Ave Chiropractic Humboldt IA 50548 Ph: (515) 332-5414 |
NPI Number | 1366654543 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1557330263 |
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Medicare Enrollment ID | O20040929000862 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366654543 | NPI | - | NPPES |
0279810 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A5718 (Iowa) | Primary |
Provider Name | Michael Eugene Crowley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982645164 PECOS PAC ID: 5092800730 Enrollment ID: I20111201000043 |
Hcmh Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St N Ste C, Humboldt, IA 50548 Phone: 515-332-7555 Fax: 515-332-7556 | |
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