HOMETOWN CHIROPRACTIC (NPI# 1265604755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265604755 |
| Entity Type | Organization |
| Organization Name | HOMETOWN CHIROPRACTIC |
| Practice Address |
621 S 2nd St Greenville IL 62246-1744 |
| Practice Telephone | 6186640444 |
| Practice Fax Number | 6186640454 |
| Mailing Telephone | 6186640444 |
| Mailing Fax Number | 6186640454 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. VINCE SILAS COLL JR. (CHIROPRACTOR) |
| Authorized Official Telephone | 6186640444 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | B.C.B.S. PROVIDER # | 30340053 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOMETOWN CHIROPRACTIC | 1651 Carey Ave Ste 2, Cheyenne, WY 82001-4423 |
| Indiana Business Entities | HOMETOWN CHIROPRACTIC LLC | 1549 Fort Harrison Road, Terre Haute, IN 47805 |
| Iowa Business Entities | HOMETOWN CHIROPRACTIC PLLC | 437 Brown Street, Bettendorf, IA 52722 |
| New York State Corporations | HOMETOWN CHIROPRACTIC, PLLC | 5625 Division St., Lowville, New York 13367 |
| Street Address |
621 S 2ND ST |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326110115 | Pharm Services Inc | Pharmacy | 621 S 2nd St, Greenville, IL 62246-1744 | 2006-11-15 |
| 1376022426 | Marion Eye Centers Ltd. | Ophthalmology | 621 S 2nd St, Greenville, IL 62246-1744 | 2018-08-09 |
| 1053560052 | Hometown Chiropractic Ltd | Chiropractor | 621 S 2nd St, Greenville, IL 62246-1744 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| 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 |
|---|---|---|---|---|
| 1588287601 | William Craig Hewitt | Chiropractor | 14 Airport Rd, Greenville, SC 29607-2528 | 2020-05-22 |
| 1396384491 | Shawn Michael Currie | Chiropractor | 413 Vardry St Ste 6b, Greenville, SC 29601-3331 | 2020-01-06 |
| 1851937247 | David Cifuentes | Chiropractor | 301 Airport Rd Unit G, Greenville, SC 29607-2610 | 2019-11-21 |
| 1548810153 | Thinc Chiropractic, LLC | Chiropractor | 579 Haywood Rd Ste 10, Greenville, SC 29607-2710 | 2019-09-16 |
| 1235781196 | Molly Danielle Spohn | Chiropractor | 107 Mills Ave, Greenville, SC 29605-4017 | 2019-07-11 |
| 1811461924 | Jennifer L Malkiel | Chiropractor | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2019-01-11 |
| 1548739949 | Dominic Geno Lupori | Chiropractor | 2702 E North St, Greenville, SC 29615-1715 | 2018-11-15 |
| 1669974739 | Robert Richard Maurer Jr. | Chiropractor | 19 Mohawk Dr, Greenville, SC 29609-5726 | 2018-03-06 |
| 1851800635 | Matthew Wink | Chiropractor | 4200 E North St Ste 6, Greenville, SC 29615-2437 | 2017-09-25 |
| 1063921179 | Brittany Scoggins | Chiropractor | 4109 E North St Ste 400, Greenville, SC 29615-6210 | 2017-09-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on HOMETOWN CHIROPRACTIC.
| 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.