Provider Demographics
NPI:1235644287
Name:FIRST CARE CHIROPRACTIC CENTER PSC
Entity Type:Organization
Organization Name:FIRST CARE CHIROPRACTIC CENTER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-923-2628
Mailing Address - Street 1:5057 POPLAR LEVEL RD STE 7
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-1129
Mailing Address - Country:US
Mailing Address - Phone:502-962-5220
Mailing Address - Fax:502-962-5221
Practice Address - Street 1:5057 POPLAR LEVEL RD STE 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-1129
Practice Address - Country:US
Practice Address - Phone:502-962-5220
Practice Address - Fax:502-962-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center