REGENERATIVE HEALTH AND WELLNESS MEDICAL CENTER LLC (NPI# 1184085938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184085938 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE HEALTH AND WELLNESS MEDICAL CENTER LLC |
| Practice Address |
209 S Main Street Holly CO 81047-0304 |
| Mailing Address |
209 S. Main Street Holly CO 81047-0304 |
| Practice Telephone | 7195370200 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | DR. JACOB HOLDREN (OWNER) |
| Authorized Official Telephone | 7195370200 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
209 S MAIN STREET |
| City | HOLLY |
| State | CO |
| Zip Code | 81047-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172052 | Ashley Nicole Mayjoy | Nurse Practitioner | 209 South Main Street, Holly, CO 81047 | 2020-07-30 |
| 1851769756 | Elizabeth Lydon | Student in an Organized Health Care Education/Training Program | 320 North 8th St., Holly, CO 81047 | 2015-09-09 |
| 1407259617 | Tracee Nelson Yarborough | Nurse Practitioner | 410 W Colorado St, Holly, CO 81047 | 2014-10-01 |
| 1811333768 | Stanton County Hospital | Nurse Practitioner | 410 W Colorado, Holly, CO 81047 | 2013-05-20 |
| 1114195872 | Holly Fire & Ambulance District | Ambulance | 115 N 1st Ave, Holly, CO 81047 | 2008-02-15 |
| 1639367022 | Rhonda Christine Davis | Occupational Therapy Assistant | 320 8th Street, Holly, CO 81047 | 2007-10-10 |
| 1639149594 | Jacob Kyle Holdren | Chiropractor | 209 S. Main Street, Holly, CO 81047 | 2006-01-24 |
| 1285632372 | Holly Nursing Care Center, Inc. | Skilled Nursing Facility | 320 N 8th St, Holly, CO 81047 | 2005-07-12 |
| 1669845129 | Holly Nursing Care Center, Inc | Skilled Nursing Facility | 320 N 8th St, Holly, CO 81047 | 2015-11-05 |
| 1932596350 | High Plains Community Health Center Incorporated | Clinic/Center | 410 West Colorado, Holly, CO 81047 | 2015-04-23 |
| Find all providers in zip 81047 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045199 | Maria Celeste Lyons | Chiropractor | 1016 N Saginaw St Ste A, Holly, MI 48442-1379 | 2019-04-22 |
| 1841206315 | Jason Mathieu White | Chiropractor | 1016 N Saginaw St, Suite C, Holly, MI 48442-1351 | 2006-08-01 |
| 1295740694 | Teryl J May-lafalce | Chiropractor | 3045 Grange Hall Rd, Suite 8, Holly, MI 48442-1020 | 2006-07-31 |
| 1346213360 | Shawn Allan Devary | Chiropractor | 1121 N Saginaw St, Suite 2, Holly, MI 48442-1380 | 2006-02-09 |
| 1639149594 | Jacob Kyle Holdren | Chiropractor | 209 S. Main Street, Holly, CO 81047 | 2006-01-24 |
| 1851609200 | Jarrod Wayne Bailey | Chiropractor | 1016 N Saginaw St, Suite C, Holly, MI 48442-1379 | 2010-09-20 |
| 1306038732 | Advanced Care Chiropractic PC | Chiropractor | 1016 N Saginaw St, Suite C, Holly, MI 48442-1351 | 2007-08-09 |
| 1689770224 | Devary Chiropractic Wellness Center | Chiropractor | 1121 N Saginaw St, Suite 2, Holly, MI 48442-1380 | 2006-09-14 |
| 1518905058 | Valdimir William Boggs | Chiropractor | 1121 N Saginaw St, Suit 2, Holly, MI 48442-1380 | 2006-06-04 |
| 1689623530 | William Boggs P.C. | Chiropractor | 1121 N Saginaw St, Suit 2, Holly, MI 48442-1380 | 2006-05-09 |
| Find all providers in HOLLY | ||||
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| 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.