Provider Demographics
NPI:1386800068
Name:HILL FAMILY CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:HILL FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-339-3978
Mailing Address - Street 1:800 STATE HIGHWAY 248
Mailing Address - Street 2:STE. 2D
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-3721
Mailing Address - Country:US
Mailing Address - Phone:417-339-3978
Mailing Address - Fax:417-339-3979
Practice Address - Street 1:800 STATE HIGHWAY 248
Practice Address - Street 2:STE. 2D
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-3721
Practice Address - Country:US
Practice Address - Phone:417-339-3978
Practice Address - Fax:417-339-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000014851Medicare PIN