| Goodman Chiropractic Center, Inc. | |
|
3910 W Main St Thatcher AZ 85552-5621 | |
| (928) 348-8997 | |
| Not Available |
| Full Name | Goodman Chiropractic Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3910 W Main St, Thatcher, Arizona |
| Authorized Official Name and Position | Kenneth Reed Goodman (OWNER) |
| Authorized Official Contact | 9283488997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Chiropractic Center, Inc. Po Box 1206 Thatcher AZ 85552-1206 Ph: () - | Goodman Chiropractic Center, Inc. 3910 W Main St Thatcher AZ 85552-5621 Ph: (928) 348-8997 |
| NPI Number | 1033649116 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 8022380971 |
|---|---|
| Medicare Enrollment ID | O20170828001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033649116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5239 (Arizona) | Primary |
| Provider Name | Kenneth R Goodman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336272756 PECOS PAC ID: 5799705109 Enrollment ID: I20051130000689 |
Copper Mountain Clinic-thatcher Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 N College Ave, Suite 104, Thatcher, AZ 85552 Phone: 928-348-3960 Fax: 844-665-7939 |