| Humboldt Spine & Rehab Pc | |
|
1201 6th Ave N Humboldt IA 50548-1102 | |
| (515) 368-0086 | |
| Not Available |
| Full Name | Humboldt Spine & Rehab Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 6th Ave N, Humboldt, Iowa |
| Authorized Official Name and Position | Mark Cirks (VP/SECRETARY) |
| Authorized Official Contact | 5153680086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt Spine & Rehab Pc 1146 190th St Bradgate IA 50520-8710 Ph: () - | Humboldt Spine & Rehab Pc 1201 6th Ave N Humboldt IA 50548-1102 Ph: (515) 368-0086 |
| NPI Number | 1578803599 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Medicare PECOS PAC ID | 5799925855 |
|---|---|
| Medicare Enrollment ID | O20130712000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578803599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 007613 (Iowa) | Primary |
| Provider Name | Mark D Cirks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336488170 PECOS PAC ID: 6608016761 Enrollment ID: I20130712000612 |
| Provider Name | Mitchell B Nielsen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982049516 PECOS PAC ID: 5193954758 Enrollment ID: I20140131001783 |
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