| 1st Avenue Chiropractic, P.c. | |
|
611 1 St Ave Chiropractic Humboldt IA 50548 | |
| (515) 332-5414 | |
| (515) 332-5415 |
| Full Name | 1st Avenue Chiropractic, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 1 St Ave Chiropractic, Humboldt, Iowa |
| Authorized Official Name and Position | Michael E Crowley (CEO) |
| Authorized Official Contact | 5153325414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Avenue Chiropractic, P.c. 611 1 St Ave Chiropractic Humboldt IA 50548 Ph: (515) 332-5414 | 1st Avenue Chiropractic, P.c. 611 1 St Ave Chiropractic Humboldt IA 50548 Ph: (515) 332-5414 |
| NPI Number | 1366654543 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557330263 |
|---|---|
| Medicare Enrollment ID | O20040929000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366654543 | NPI | - | NPPES |
| 0279810 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A5718 (Iowa) | Primary |
| Provider Name | Michael Eugene Crowley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982645164 PECOS PAC ID: 5092800730 Enrollment ID: I20111201000043 |
Humboldt County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St N Ste C, Humboldt, IA 50548 Phone: 515-332-7555 Fax: 515-332-7556 | |
Humboldt Spine & Rehab Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 6th Ave N, Humboldt, IA 50548 Phone: 515-368-0086 | |
Trimark Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 15th St N, Humboldt, IA 50548 Phone: 515-332-2015 Fax: 515-332-4211 | |
Iowa Physicians Clinic Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 15th St N, Humboldt, IA 50548 Phone: 515-332-2015 Fax: 515-332-4211 | |
Trinity Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 15th St N Ste A, Humboldt, IA 50548 Phone: 515-332-2015 Fax: 515-332-4211 | |
Trimark Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 15th St N, Humboldt, IA 50548 Phone: 515-332-2015 |