| Riversedge Chiropractic Wellness Center Llc | |
|
227 Main St Old Town ME 04468 | |
| (207) 827-5951 | |
| (720) 368-0639 |
| Full Name | Riversedge Chiropractic Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 Main St, Old Town, Maine |
| Authorized Official Name and Position | Cheryl A La Grange (OWNER) |
| Authorized Official Contact | 2076311057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riversedge Chiropractic Wellness Center Llc 227 Main St Old Town ME 04468-1470 Ph: (207) 827-5951 | Riversedge Chiropractic Wellness Center Llc 227 Main St Old Town ME 04468 Ph: (207) 827-5951 |
| NPI Number | 1023510898 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 1658627765 |
|---|---|
| Medicare Enrollment ID | O20180703001310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023510898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CR2220 (Maine) | Primary |
| Provider Name | Cheryl Anne La Grange |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508213521 PECOS PAC ID: 4587957923 Enrollment ID: I20160722001960 |
Pchc Walk In - Old Town Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 Stillwater Ave, Old Town, ME 04468 Phone: 207-404-8000 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Stillwater Ave, Old Town, ME 04468 Phone: 207-404-8000 | |
Riversedge Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Main St, Old Town, ME 04468 Phone: 207-827-5951 | |
Helen Hunt Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Oak St, Old Town, ME 04468 Phone: 207-404-8000 |