| Cahill Back & Neck Care Center | |
|
6115 Cahill Ave Ste 100 Inver Grove Heights MN 55076-1670 | |
| (651) 451-7222 | |
| (651) 451-1720 |
| Full Name | Cahill Back & Neck Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6115 Cahill Ave, Inver Grove Heights, Minnesota |
| Authorized Official Name and Position | Scott Stinson (PRESIDENT) |
| Authorized Official Contact | 6514517222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cahill Back & Neck Care Center 6115 Cahill Ave Ste 100 Inver Grove Heights MN 55076-1670 Ph: (651) 451-7222 | Cahill Back & Neck Care Center 6115 Cahill Ave Ste 100 Inver Grove Heights MN 55076-1670 Ph: (651) 451-7222 |
| NPI Number | 1407162175 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Medicare PECOS PAC ID | 6204011380 |
|---|---|
| Medicare Enrollment ID | O20110505000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407162175 | NPI | - | NPPES |
| 465027100 | Medicaid | MN | |
| 350049425 | Other | RR MEDICARE | |
| 24G82ST | Other | MN | BCBSMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1861 (Minnesota) | Primary |
| Provider Name | Scott L Stinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427061563 PECOS PAC ID: 3274718358 Enrollment ID: I20110505000373 |
| Provider Name | Matthew John Devinney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922466457 PECOS PAC ID: 1153628318 Enrollment ID: I20160401002086 |
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