| Heartland Family Chiropractic, P.a. | |
|
23 North Main Street Clara City MN 56222-0793 | |
| (320) 847-3511 | |
| (320) 847-3752 |
| Full Name | Heartland Family Chiropractic, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 North Main Street, Clara City, Minnesota |
| Authorized Official Name and Position | Jonathan Jay Grussing (PRESIDENT) |
| Authorized Official Contact | 3208473511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Family Chiropractic, P.a. 23 North Main Street P.o. Box 793 Clara City MN 56222-0793 Ph: (320) 847-3511 | Heartland Family Chiropractic, P.a. 23 North Main Street Clara City MN 56222-0793 Ph: (320) 847-3511 |
| NPI Number | 1841335312 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224119920 |
|---|---|
| Medicare Enrollment ID | O20080119000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841335312 | NPI | - | NPPES |
| 128M9HE | Other | MN | BCBS GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3280 (Minnesota) | Primary |
| Provider Name | Jonathan J Grussing |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710022348 PECOS PAC ID: 7315901147 Enrollment ID: I20041112000165 |
Ccm Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 Northwest 1st Ave, Clara City, MN 56222 Phone: 320-269-8877 Fax: 320-321-8289 |