PARK CHIROPRACTIC CLINIC INC. NPI 1669486015

NPI Information

  • NPI: 1669486015
  • Provider Name: PARK CHIROPRACTIC CLINIC, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4 13TH AVE N
    WAITE PARK, MN
    ZIP 56387
  • Phone: (320) 252-8383

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NPI Details

PARK CHIROPRACTIC CLINIC, INC. is a clinic center in Waite Park, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PARK CHIROPRACTIC CLINIC, INC. NPI is 1669486015. The provider is registered as an organization entity type.

The provider's business location address is:

4 13TH AVE N
WAITE PARK, MN
ZIP 56387-036
Phone: (320) 252-8383
Fax: (320) 252-9028

The provider's authorized official is David Charles Anderson .
The authorized official title is President and has the following contact phone number (320) 252-8383.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center364MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1155216300MEDICAIDMINNESOTA
2350041524MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
3350001679MEDICARE ID-TYPE UNSPECIFIEDREGULAR MEDICARE
46C337PAOTHERMINNESOTABCBS
5U55126MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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