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HICKORY HEALTH CLINIC PLLC
NPI 1043841414
Chiropractor in Forest Lake, MN

Active since February 03, 2020
168 LAKE ST S STE C, FOREST LAKE, MN 55025(651) 226-8338 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2020, Feb 6, 2020 (2 updates tracked since 2020).

About Hickory Health Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HICKORY HEALTH CLINIC PLLC (NPI 1043841414) is a healthcare organization registered as a chiropractor in Forest Lake, Minnesota and active in the NPI registry since February 2020. The organization lists Richard Vincent Ottomeyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1043841414
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHICKORY HEALTH CLINIC PLLC
Location Address168 LAKE ST S STE CForest Lake, MN 55025-4401
Mailing Address23315 Itasca Ave NForest Lake, MN 55025-8277 · (651) 226-8338
Phone(651) 226-8338
Organization SubpartNo
Authorized OfficialRichard Vincent OttomeyerOwner · (651) 226-8338
Enumeration DateFebruary 3, 2020
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
✔ NPI 1043841414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
168 LAKE ST S STE C, Forest Lake, MN 55025
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Other Identifiers 1

Medicaid51352700MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD VINCENT OTTOMEYER D.C.
Chiropractor (Orthopedic)
168 LAKE ST S STE C
FOREST LAKE, MN 55025
Washington County (651) 226-8338
AMY GOEHNER
Clinic/Center (Physical Therapy)
168 LAKE ST S STE C
FOREST LAKE, MN 55025
Washington County (612) 718-2669
AMY MARIE GOEHNER PT
Physical Therapist
168 LAKE ST S STE C
FOREST LAKE, MN 55025
Washington County (651) 538-0590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hickory Health Clinic PLLC's NPI number?

The NPI number for Hickory Health Clinic PLLC is 1043841414. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Hickory Health Clinic PLLC located?

Hickory Health Clinic PLLC is located at 168 Lake St S Ste C, Forest Lake, MN 55025. The listed phone number is (651) 226-8338.

What is Hickory Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Hickory Health Clinic PLLC accept?

Health plans from HealthPartners list Hickory Health Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hickory Health Clinic PLLC was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.