INSTITUTE FOR LOW BACK CARE LLC – NPI #1124125109
Clinic/Center

INSTITUTE FOR LOW BACK CARE LLC is an AHC clinic located in FARGO, ND. NPPES has assigned the NPI number 1124125109 to INSTITUTE FOR LOW BACK CARE LLC on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 13 years ago on May 07, 2013. 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 INSTITUTE FOR LOW BACK CARE LLC below.

NPI Profile for
INSTITUTE FOR LOW BACK CARE LLC

NPI Number
1124125109
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
INSTITUTE FOR LOW BACK CARE LLC
Primary location
300 MAIN AVE
SUITE 212
FARGO, ND 58103-1930
Phone: (701) 297-0817 Fax: (701) 297-6870
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PANJINI SIVANNA
PRESIDENT
Phone: (701) 297-0817
Updated
Identifiers

Identifiers for INSTITUTE FOR LOW BACK CARE LLC

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
MEDICAIDND6826334
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 ND 4806
261QP3300X
- Clinic/Center / Pain
174400000X
- Specialist		 ND 4806

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.