MADISON CHIROPRACTIC CENTER PC (NPI# 1801120258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801120258 |
| Entity Type | Organization |
| Organization Name | MADISON CHIROPRACTIC CENTER PC |
| Practice Address |
508 W 4th St Madison MN 56256-1426 |
| Mailing Address |
508 W 4th St Madison MN 56256 |
| Practice Telephone | 3205983089 |
| Practice Fax Number | 3205983211 |
| Mailing Telephone | 2183123002 |
| Mailing Fax Number | 2183123003 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | CLINTON A BONN (OWNER) |
| Authorized Official Telephone | 3205983089 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
3882 | MN | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3882 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 721157100 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 3BW40MA | 01 |
| Street Address |
508 W 4TH ST |
| City | MADISON |
| State | MN |
| Zip Code | 56256-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104842426 | Clinton Allen Bonn | Chiropractor | 508 W 4th St, Madison, MN 56256-1426 | 2006-07-14 |
| 1316022445 | Madison Chiropractic Center | Chiropractor | 508 W 4th St, Madison, MN 56256-1426 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043589799 | Grace Haven Assisted Living LLC | Assisted Living Facility | 301 E 3rd Street, Madison, MN 56256 | 2011-12-27 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1659443679 | Kim Renae Kuechenmeister | Technician/Technologist | 323 Sixth Avenue, Madision, MN 56256 | 2006-11-14 |
| 1033209424 | City of Madison | Ambulance | 301 1st Street, Madison, MN 56256 | 2006-10-13 |
| 1376587907 | Brandon Lee Ulstad | Dentist | 622 3rd St, Madison, MN 56256 | 2006-06-15 |
| 1386741684 | Madison Healthcare Services | Home Health | 900 Second Avenue, Madison, MN 56256-1006 | 2006-09-20 |
| 1306832795 | Madison Healthcare Services | Skilled Nursing Facility | 900 2nd Ave, Madison, MN 56256-1006 | 2005-09-21 |
| 1083272066 | Victoria Marquardt | Occupational Therapist | 900 2nd Ave, Madison, MN 56256-1006 | 2019-06-04 |
| 1225548738 | Melanie Miller | Nurse Practitioner | 900 2nd Ave, Madison, MN 56256-1006 | 2017-10-10 |
| 1215308077 | Paul E Hodge | Nurse Practitioner | 900 2nd Ave, Madison, MN 56256-1006 | 2015-10-19 |
| Find all providers in zip 56256 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1225294945 | Concentra Health Services, Inc. | Clinic/Center | 1719 Gallatin Rd., Madison, TN 37115 | 2008-08-01 |
| 1477631588 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1719 Gallatin Pike N, Madison, TN 37115-2123 | 2006-11-02 |
| 1861001810 | Balance Chiropractic LLC | Clinic/Center | 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 | 2020-07-27 |
| 1225524515 | W. Daniel Zant,jr Md PC | Clinic/Center | 2002 S Main St, Madison, GA 30650-2054 | 2018-07-10 |
| 1619418753 | Holistic Healing LLC | Clinic/Center | 1444 Ellen Ave, Madison, WI 53716-1578 | 2017-03-08 |
| 1043609316 | Holistic Homebirth Madison, LLC | Clinic/Center | 52 Golf Course Rd, Madison, WI 53704-1423 | 2015-01-09 |
| 1255769550 | Hormone Health and Weight Loss | Clinic/Center | 3776 Sullivan St, Suite C, Madison, AL 35758-2371 | 2013-10-23 |
| 1972867141 | Madison Manual Medicine, Ltd. | Clinic/Center | 1709 Monroe St, Suite 2, Madison, WI 53711-2022 | 2012-07-02 |
| 1497907794 | Concentra Health Services, Inc. | Clinic/Center | 358 Junction Road, Madison, WI 53717-2612 | 2008-10-17 |
| Find all providers in MADISON | ||||
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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.