| Family Chiropractic Center, Pa | |
|
20700 Chippendale Ave W Ste 7 Farmington MN 55024-8206 | |
| (651) 460-9449 | |
| (651) 279-2148 |
| Full Name | Family Chiropractic Center, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 20700 Chippendale Ave W Ste 7, Farmington, Minnesota |
| Authorized Official Name and Position | Annie Lee Mickelson (OWNER/PRESIDENT) |
| Authorized Official Contact | 6514609449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chiropractic Center, Pa 20700 Chippendale Ave W Ste 7 Farmington MN 55024-8206 Ph: (651) 460-9449 | Family Chiropractic Center, Pa 20700 Chippendale Ave W Ste 7 Farmington MN 55024-8206 Ph: (651) 460-9449 |
| NPI Number | 1083688345 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 09/01/2016 |
| Medicare PECOS PAC ID | 0941479430 |
|---|---|
| Medicare Enrollment ID | O20110818000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083688345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1020 (Minnesota) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 4381 (Minnesota) | Primary |
| Provider Name | Joel A Fenske |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841317013 PECOS PAC ID: 3870579014 Enrollment ID: I20040628000856 |
| Provider Name | Ashley R Hartman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750527289 PECOS PAC ID: 3870641616 Enrollment ID: I20090504000629 |
| Provider Name | Cley James Charlson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720787583 PECOS PAC ID: 5698140341 Enrollment ID: I20230411000807 |
Allina Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21260 Chippendale Ave W, Farmington, MN 55024 Phone: 651-463-7181 Fax: 651-241-0829 | |
Fairview Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19685 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-463-5100 Fax: 651-463-5101 | |
West Side Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19685 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-602-7500 Fax: 651-222-1305 | |
West Side Community Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19685 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-602-7500 Fax: 651-222-1305 | |
Avida Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18771 Euclid Path, Farmington, MN 55024 Phone: 763-670-4382 | |
Marcus Seywerd Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16798 Embers Ave, Farmington, MN 55024 Phone: 952-484-7401 |