Provider Demographics
NPI:1013193564
Name:MILLER HEALTH LLC
Entity Type:Organization
Organization Name:MILLER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-242-5316
Mailing Address - Street 1:304 S 2ND ST
Mailing Address - Street 2:PO BOX 0361
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4201
Mailing Address - Country:US
Mailing Address - Phone:563-242-5316
Mailing Address - Fax:563-242-3128
Practice Address - Street 1:408 W LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:IL
Practice Address - Zip Code:61270-2206
Practice Address - Country:US
Practice Address - Phone:563-242-5316
Practice Address - Fax:563-242-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
09832017OtherBCBS
U93475Medicare UPIN
ILK13154Medicare PIN
IL210570Medicare PIN