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HEALTHFIRST CHIROPRACTIC OF WATERTOWN NPI 1790915114


NPI Information

NPI: 1790915114
Provider Name: HEALTHFIRST CHIROPRACTIC OF WATERTOWN
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1024 29TH ST SE
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-3726
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HEALTHFIRST CHIROPRACTIC OF WATERTOWN is a clinic center in Watertown, SD. 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). HEALTHFIRST CHIROPRACTIC OF WATERTOWN NPI is 1790915114. The provider is registered as an organization entity type.

The provider's business location address is:

1024 29TH ST SE
WATERTOWN, SD
ZIP 57201-120
Phone: (605) 882-3726
Fax: (605) 882-3727

The provider's authorized official is Mike Hendricks .
The authorized official title is Chiropractor and has the following contact phone number (605) 882-3726.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 8/11/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center1086SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174572309MEDICAIDSOUTH DAKOTA
21174572309OTHERWELLMARK BLUE CROSS AND BLUE SHIELD
31174572309MEDICARE PIN
41790915114MEDICARE PINSOUTH DAKOTA

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: 4/28/2024

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