Organization
AUGUSTA CHIROPRACTIC HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERVIN DENNIS MCCORMAC D.C. (PRESIDENT)
(316) 775-0077
Entity
Organization
Contact information
Practice address
514 STATE ST, AUGUSTA, KS 67010-1108
(316) 775-0077
(316) 775-2718
Mailing address
1402 OHIO ST, AUGUSTA, KS 67010-1842
(316) 775-0077
(316) 775-2718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-4006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194753632
INDIVIDUAL NPI NUMBER
KS
01
—
660063
BCBSKS GROUP NUMBER
KS
Enumeration date
08/30/2006
Last updated
02/01/2018
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