| Owc, Inc. | |
|
830 Michigan Ave Orofino ID 83544-7005 | |
| (208) 476-7091 | |
| (866) 993-2828 |
| Full Name | Owc, Inc. |
|---|---|
| Speciality | Chiropractor |
| Location | 830 Michigan Ave, Orofino, Idaho |
| Authorized Official Name and Position | Damon J Popovics (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2084767091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owc, Inc. 830 Michigan Ave Orofino ID 83544-7005 Ph: (208) 476-7091 | Owc, Inc. 830 Michigan Ave Orofino ID 83544-7005 Ph: (208) 476-7091 |
| NPI Number | 1053668889 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 1052690815 |
|---|---|
| Medicare Enrollment ID | O20161118000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053668889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | CHIA-1515 (Idaho) | Primary |
| Provider Name | Damon J Popovics |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710996533 PECOS PAC ID: 7214912617 Enrollment ID: I20120806000857 |
Clearwater Valley Hospital & Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Orofino Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |