Provider Demographics
NPI:1174814685
Name:RAQUELLE BAINTER INC
Entity Type:Organization
Organization Name:RAQUELLE BAINTER INC
Other - Org Name:HILL CITY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAQUELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-657-7104
Mailing Address - Street 1:PO BOX 553
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:67740-0553
Mailing Address - Country:US
Mailing Address - Phone:785-657-7104
Mailing Address - Fax:
Practice Address - Street 1:303 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1927
Practice Address - Country:US
Practice Address - Phone:785-657-7104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS352928OtherBLUE CROSS AND BLUE SHIELD
KS352928OtherBLUE CROSS AND BLUE SHIELD