Heartland Family Chiropractic, P.a. | |
23 North Main Street Clara City MN 56222-0793 | |
(320) 847-3511 | |
(320) 847-3752 |
Full Name | Heartland Family Chiropractic, P.a. |
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Speciality | Clinic/Center |
Location | 23 North Main Street, Clara City, Minnesota |
Authorized Official Name and Position | Jonathan Jay Grussing (PRESIDENT) |
Authorized Official Contact | 3208473511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heartland Family Chiropractic, P.a. 23 North Main Street P.o. Box 793 Clara City MN 56222-0793 Ph: (320) 847-3511 | Heartland Family Chiropractic, P.a. 23 North Main Street Clara City MN 56222-0793 Ph: (320) 847-3511 |
NPI Number | 1841335312 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8224119920 |
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Medicare Enrollment ID | O20080119000090 |
Identifier | Type | State | Issuer |
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1841335312 | NPI | - | NPPES |
128M9HE | Other | MN | BCBS GROUP PIN |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 3280 (Minnesota) | Primary |
Provider Name | Jonathan J Grussing |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710022348 PECOS PAC ID: 7315901147 Enrollment ID: I20041112000165 |
Ccm Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 Northwest 1st Ave, Clara City, MN 56222 Phone: 320-269-8877 Fax: 320-321-8289 |