PACIFIC COAST CHIROPRACTIC (NPI# 1285828467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285828467 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST CHIROPRACTIC |
| Practice Address |
1400 Riverside Dr Ste A Mount Vernon WA 98273-5001 |
| Practice Telephone | 3604163946 |
| Practice Fax Number | 3604163209 |
| Mailing Telephone | 3604163946 |
| Mailing Fax Number | 3604163209 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | JOHN G. HOLDEN (CHIROPRACTOR) |
| Authorized Official Telephone | 3604163946 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CH0003044 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC COAST CHIROPRACTIC & REHAB CENTER | 7755 Highway 101 North, Gleneden Beach, OR 97388 |
| Street Address |
1400 RIVERSIDE DR STE A |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639347024 | Pamela Davis | Specialist | 1400 Riverside Dr Ste A, Mount Vernon, WA 98273-5001 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687617 | Montefiore New Rochelle | Clinic/Center | 100 Stevens Ave Fl 7, Mount Vernon, NY 10550-2610 | 2016-01-28 |
| 1013215466 | Sorin S Rhone | Clinic/Center | 1930 E College Way Ste B, Mount Vernon, WA 98273-2393 | 2011-03-09 |
| 1467601047 | Knox Community Hospital | Clinic/Center | 1355 Yauger Rd., Mount Vernon, OH 43050 | 2008-09-18 |
| 1649742602 | Samantha Leah Simon | Clinic/Center | 401 S 25th St, Mount Vernon, WA 98274-4772 | 2018-12-31 |
| 1356631535 | Walk In Clinic LLC | Clinic/Center | 207 W High St, Mount Vernon, OH 43050-2427 | 2011-04-08 |
| 1316271653 | Physician Services Corporation of Southern Illinois S.c | Clinic/Center | 1708 Jefferson Ave, Suite 100, Mount Vernon, IL 62864-4309 | 2009-09-18 |
| 1003065681 | Knox Community Hospital | Clinic/Center | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2008-09-18 |
| 1801045406 | Knox Community Hospital | Clinic/Center | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2008-09-18 |
| 1538318134 | Knox Community Hospital | Clinic/Center | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2008-09-18 |
| 1962660902 | Barone Chiropractic Clinic P.s. | Clinic/Center | 124 N 18th St, Mount Vernon, WA 98273-3525 | 2008-05-27 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on PACIFIC COAST 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.