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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 08002579A | IN | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404039 | Divine Chiropractic LLC | Chiropractor | 465 Route 25a, Suite 1, Miller Place, NY 11764 | 2012-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DIVINE CHIROPRACTIC LLC | 404 N Jfk Ave., Loogootee, IN 47553 |
| Street Address |
404 NORTH JOHN F KENNEDY AVENUE |
| City | LOOGOOTEE |
| State | IN |
| Zip Code | 47553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376105437 | Lindsey Brooke Gingerich | Occupational Therapist | 7231 Bledsoe Ln, Loogootee, IN 47553 | 2019-06-28 |
| 1013010735 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 402 W Broadway, Loogootee, IN 47553 | 2006-09-07 |
| 1053398644 | Maureen Gutgsell | Pharmacist | Us Hwy 231 South, Loogootee, IN 47553 | 2005-12-27 |
| 1043762842 | Erin Louise Burns | Speech-Language Pathologist | 1 Loogootee Plaza, Loogootee, IN 47553 | 2016-10-27 |
| 1740360700 | Little Company of Mary Hospital of Indiana, Inc | Clinic/Center | 105 Cooper St, Loogootee, IN 47553 | 2006-10-16 |
| 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 |
| 1912040106 | Jennifer Ann Bailey | Speech-Language Pathologist | 103 Bel Air Dr, Loogootee, IN 47553-1101 | 2007-02-15 |
| 1902924285 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 305 Ne 3rd St, Loogootee, IN 47553-1208 | 2007-03-26 |
| Find all providers in zip 47553 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| 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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| 1518313642 | David C. Wood, D.d.s., LLC | Preferred Provider Organization | 266 Medical Dr, Carmel, IN 46032-2944 | 2016-05-07 |
| 1679965263 | Life Solutions South of Indiana | Preferred Provider Organization | 120 E Market St, Indianapolis, IN 46204-3250 | 2015-02-19 |
| 1326318486 | Mercho Medical Service Inc | Preferred Provider Organization | 1311 N. Arlington Avenue, Suite 108, Indianapolis, IN 46219-3260 | 2012-01-06 |
| 1225262702 | Essential Development Corporation | Preferred Provider Organization | 1426 W 29th St Ste 209, Indianapolis, IN 46208-4993 | 2009-05-12 |
| 1265666382 | Monon Volunteer Fire Dept Inc | Preferred Provider Organization | 103 E Third St, Monon, IN 47959 | 2009-05-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.