DIVINE CHIROPRACTIC LLC


Address: 404 North John F Kennedy Avenue, Loogootee, IN 47553
Phone: 8122955600

DIVINE CHIROPRACTIC LLC (NPI# 1457649857) 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) 1457649857
Entity Type Organization
Organization Name DIVINE CHIROPRACTIC LLC
Practice Address 404 North John F Kennedy Avenue
Loogootee
IN 47553
Practice Telephone 8122955600
Enumeration Date 2011-07-19
Last Update Date 2011-07-19
Authorized Official Name JORDAN DIVINE (MANAGER)
Authorized Official Telephone 8122955600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 08002579A IN Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235404039 Divine Chiropractic LLC Chiropractor 465 Route 25a, Suite 1, Miller Place, NY 11764 2012-03-13

Office Location

Street Address 404 NORTH JOHN F KENNEDY AVENUE
City LOOGOOTEE
State IN
Zip Code 47553

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1629135181 Benoni Willard Asdell Dentist 229 J F Kennedy Ave, Loogootee, IN 47553-0172 2007-01-03
1356376594 Philip J Sewell Chiropractor 1102 W Broadway, Loogootee, IN 47553-0455 2006-07-12
1992959852 Philip J. Sewell, D.c. Chiropractor 1102 W Broadway, Loogootee, IN 47553-0455 2008-11-05
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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1609018522 Synapse Neutomonitoring Inc Preferred Provider Organization 1365 N Manchester Dr, Greenfield, IN 46140-7764 2009-03-25
1891907903 Journeys Counseling Center, LLC Preferred Provider Organization 10182 Ranford Blvd, Fortville, IN 46040-1474 2007-05-03
1285846360 Midwest Residential Services, Inc. Preferred Provider Organization 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 2007-05-03
1013029321 Central Seniors Inc Preferred Provider Organization 7399 N Shadeland Ave, #125, Indianapolis, IN 46250-2052 2006-08-31
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Competitor

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City LOOGOOTEE
Zip Code 47553

Improve Information

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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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