BOONEVILLE CHIROPRACTIC CLINIC, P.A.
NPI 1154697910
Clinic/Center in Booneville, MS
- Organization
- Clinic/Center
About BOONEVILLE CHIROPRACTIC CLINIC, P.A.
This page provides the complete NPI Profile along with additional information for Booneville Chiropractic Clinic, P.a., a provider established in Booneville, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154697910 assigned on March 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 885 (MS). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Derrick Roy Blythe D.c. (President)
- NPI
- 1154697910 Verify this NPI
- Provider Name
- BOONEVILLE CHIROPRACTIC CLINIC, P.A.
- Entity Type
- Organization
- Location Address
- 105B N 2ND ST BOONEVILLE, MS 38829
- Location Phone
- (662) 728-7414
- Location Fax
- (662) 728-4163
- Mailing Address
- 105B N 2ND ST BOONEVILLE, MS 38829
- Mailing Phone
- (662) 728-7414
- Mailing Fax
- (662) 728-4163
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2012
- Last Update Date
- 03-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 885
- License State
- MS
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350000154 | MEDICARE PIN (08) | MS | |
| U47118 | MEDICARE UPIN (02) | MS |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154697910, enumerated as an "organization" on March 27, 2012.
The provider is located at 105B N 2ND ST BOONEVILLE, MS 38829 and the phone number is (662) 728-7414.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
