| Wildfire Chiropractic, LLC | |
|
401 N Main St Jetmore KS 67854 | |
| (620) 393-0190 | |
| Not Available |
| Full Name | Wildfire Chiropractic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 N Main St, Jetmore, Kansas |
| Authorized Official Name and Position | Rachel Slattery (OWNER) |
| Authorized Official Contact | 6203850435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildfire Chiropractic, LLC Po Box 502 Jetmore KS 67854-0502 | Wildfire Chiropractic, LLC 401 N Main St Jetmore KS 67854 Ph: (620) 393-0190 |
| NPI Number | 1447977863 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 8820466741 |
|---|---|
| Medicare Enrollment ID | O20221128002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447977863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Rachel Slattery |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114647518 PECOS PAC ID: 9739557653 Enrollment ID: I20221128002178 |
O;shea Memorial Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 W Bramley St, Jetmore, KS 67854 Phone: 620-357-8354 Fax: 620-357-6460 |
Unified School District 227 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Douglas St, Jetmore, KS 67854 Phone: 620-357-8301 |