Provider Demographics
NPI:1215154240
Name:ADAMS CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:ADAMS CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-265-2288
Mailing Address - Street 1:PO BOX 2232
Mailing Address - Street 2:638 FIRST ST W
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-2232
Mailing Address - Country:US
Mailing Address - Phone:406-265-2288
Mailing Address - Fax:406-265-2289
Practice Address - Street 1:638 1ST ST W
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3416
Practice Address - Country:US
Practice Address - Phone:406-265-2288
Practice Address - Fax:406-265-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1376525626Medicare ID - Type UnspecifiedPROVIDER NPI