RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC


Address: 227 Main St, Old Town, ME 04468
Phone: 2078275951

RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC (NPI# 1023510898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023510898
Entity Type Organization
Organization Name RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC
Practice Address 227 Main St
Old Town
ME 04468
Mailing Address 227 Main St
Old Town
ME 04468-1470
Practice Telephone 2078275951
Practice Fax Number 7203680639
Mailing Telephone 2078275951
Mailing Fax Number 7203680639
Enumeration Date 2018-03-07
Last Update Date 2018-07-03
Authorized Official Name DR. CHERYL A LA GRANGE (OWNER)
Authorized Official Telephone 2076311057
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center CR2220 ME Ambulatory Health Care Facilities

Office Location

Street Address 227 MAIN ST
City OLD TOWN
State ME
Zip Code 04468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821507138 Antony Keith Angus Chiropractor 227 Main St, Old Town, ME 04468-1470 2017-09-29
1649312885 Noonan Chiropractic Chiropractor 227 Main St, Old Town, ME 04468-1470 2007-02-13
1578526430 Michael Allen Noonan Chiropractor 227 Main St, Old Town, ME 04468-1470 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770730012 Karen Laflamme Davis Speech-Language Pathologist 270-a Main St, Old Town, ME 04468 2008-08-19
1104028281 Susan C Hoovler Licensed Practical Nurse 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 2007-06-01
1326251000 City of Old Town Local Education Agency (LEA) 156 Oak St., Old Town, ME 04468 2007-05-08
1891832382 Nancy J. Mitchell Home Trust Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Sandy Beach Lane, Indian Island, ME 04468 2007-01-31
1639274913 Dianne E Kallen Family Medicine 252 Brunswick St, Old Town, ME 04468 2006-09-13
1275906893 Penobscot Community Health Center Podiatrist 242 Brunswick St, Old Town, ME 04468 2015-11-04
1740670421 Kimberly Ann Yartklang Nurse Practitioner 242 Brunswick St, Old Town, ME 04468 2015-02-02
1134350077 Kaliope C. Parousis Pediatrics 242 Brunswick Street, Old Town, ME 04468 2009-07-27
1720216245 Christopher L. Johnston Family Medicine 242 Brunswick St, Old Town, ME 04468 2009-06-23
1831338482 Joni L Winkler Nurse Practitioner 242 Brunswick St, Old Town, ME 04468 2009-02-05
Find all providers in zip 04468

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710404561 Colasante Chiropractic, LLC Clinic/Center 184 Webster Street, #100, Lewiston, ME 04240 2017-08-23
1811365513 Sarah D. Shepherd, D.o.llc Clinic/Center 27 Wadlin Road, Biddeford, ME 04005 2015-09-11
1215359146 Rosebush Chiropractic LLC Clinic/Center 980 Forest Ave Ste 102, Portland, ME 04103-3357 2014-01-12
1609137843 Access Health Renewal Clinic/Center 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 2012-06-05
1225321961 Orono Med Now Clinic/Center 16 Mill Street, Uite 4, Orono, ME 04473 2011-05-26
1003083346 Gerald M Gerrish Dc Pa Clinic/Center 276 State Highway 3, Bar Harbor, ME 04609-7539 2008-05-15
1700050390 Maine School Administrative District #75 Clinic/Center 73 Eagles Way, Mt. Ararat High School, Topsham, ME 04086-1239 2008-04-15
1710150966 Berwick Walk In Care Clinic/Center 4 Dana Dr, Berwick, ME 03901-2767 2008-04-09
1285762328 City of Calais Clinic/Center 34 Blue Devil Hill, Calais, ME 04619 2007-03-01
1942336722 Lincoln Academy School Based Healthcenter Clinic/Center 81 Academy Hl, Newcastle, ME 04553-3433 2007-02-26
Find all providers with the same taxonomy

Competitor

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City OLD TOWN
Zip Code 04468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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