BACK & NECK CARE CLINIC, LLC
NPI 1205237559
Clinic/Center in Mascoutah, IL

Active since September 05, 2014
410 E MAIN ST, MASCOUTAH, IL 62258(618) 566-3005(618) 551-2777 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Back & Neck Care Clinic, Llc NPPES

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

BACK & NECK CARE CLINIC, LLC (NPI 1205237559) is a healthcare organization registered as a clinic/center in Mascoutah, Illinois and active in the NPI registry since September 2014. The organization lists David Bowden, Owner, as its authorized official.

NPPES Registry Identity

NPI1205237559
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBACK & NECK CARE CLINIC, LLC
Location Address410 E MAIN STMascoutah, IL 62258-2229
Mailing Address410 E Main StMascoutah, IL 62258-2229 · (618) 566-3005 · Fax (618) 551-2777
Fax(618) 551-2777
Organization SubpartNo
Authorized OfficialDavid BowdenOwner · (618) 566-3005
Enumeration DateSeptember 5, 2014
Last NPPES UpdateOctober 1, 2015
NPI 1205237559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 038012578
Definition
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).
410 E MAIN ST, Mascoutah, IL 62258

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 Back & Neck Care Clinic, LLC's NPI number?

The NPI number for Back & Neck Care Clinic, LLC is 1205237559. It was assigned to this organization in the NPPES registry on September 5, 2014.

Where is Back & Neck Care Clinic, LLC located?

Back & Neck Care Clinic, LLC is located at 410 E Main St, Mascoutah, IL 62258. The listed phone number is (618) 566-3005.

What is Back & Neck Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Back & Neck Care Clinic, LLC was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.