15Th Street Chiropractic Pc
LBN: 15Th Street Chiropractic Pc
15Th Street Chiropractic Pc is an health care organization with primary practice located at 222 15Th St S Suite C, Great Falls MT 59405-2459. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
15Th Street Chiropractic Pc can be contacted via phone (406) 771-1222, or through Hertenstein, Mark W via phone (406) 771-1222.
Contact Information
Primary practice address
222 15Th St S Suite C
Great Falls MT 59405-2459
Phone: (406) 771-1222
Fax: (406) 771-1225
Website:
Authorized official contact:
Name: Hertenstein, Mark W Doctor of Chiropractic (DC)
Phone: (406) 771-1222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 537 | Montana |
Profile Details
| NPI number | 1073786653 |
|---|---|
| LBN Legal business name | 15Th Street Chiropractic Pc |
| DBA Doing business as | |
| Authorized official | Hertenstein, Mark W Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Apr 3rd, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073786653 | NPPES |
| Montana | MEDICAID | 0164398 | |
| Montana | Other | 40763 |
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