1ST AVENUE CHIROPRACTIC, P.C. – NPI #1366654543
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).

Health Care Provider Taxonomy Code for Clinic/Center

1ST AVENUE CHIROPRACTIC, P.C. is an AHC clinic located in HUMBOLDT, IA. NPPES has assigned the NPI number 1366654543 to 1ST AVENUE CHIROPRACTIC, P.C. on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1ST AVENUE CHIROPRACTIC, P.C. below.

NPI Profile for
1ST AVENUE CHIROPRACTIC, P.C.

NPI Number
1366654543
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1ST AVENUE CHIROPRACTIC, P.C.
Primary location
611 1 ST AVE CHIROPRACTIC
HUMBOLDT, IA 50548
Phone: (515) 332-5414 Fax: (515) 332-5415
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL CROWLEY
CEO
Phone: (515) 332-5414
Updated
Identifiers

Identifiers for 1ST AVENUE CHIROPRACTIC, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0279810
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 IA A5718

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.