Provider Demographics
NPI:1437224680
Name:HEALTH CENTERED CHIROPRACTIC
Entity Type:Organization
Organization Name:HEALTH CENTERED CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-752-6202
Mailing Address - Street 1:40 E CHERRY ST
Mailing Address - Street 2:PO BOX 256
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1814
Mailing Address - Country:US
Mailing Address - Phone:812-752-6202
Mailing Address - Fax:812-752-9533
Practice Address - Street 1:40 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-1814
Practice Address - Country:US
Practice Address - Phone:812-752-6202
Practice Address - Fax:812-752-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200261420AMedicaid
IN176860Medicare PIN
IN6045390001Medicare NSC