Provider Demographics
NPI:1487650131
Name:JRH CHIROPRACTIC SERVICES INC
Entity Type:Organization
Organization Name:JRH CHIROPRACTIC SERVICES INC
Other - Org Name:CONNELLSVILLE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-626-8890
Mailing Address - Street 1:2620 MEMORIAL BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-1488
Mailing Address - Country:US
Mailing Address - Phone:724-626-8890
Mailing Address - Fax:724-626-2983
Practice Address - Street 1:2620 MEMORIAL BLVD
Practice Address - Street 2:STE E
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-1488
Practice Address - Country:US
Practice Address - Phone:724-626-8890
Practice Address - Fax:724-626-2983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004033L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0004542737OtherAETNA INSURANCE
PA62156OtherUNISON
PA0012691440002Medicaid
PA1500256OtherGATEWAY
PA415912OtherHEALTH AMERICA
PA0011633880002Medicaid
PA309990OtherUPMC INSURANCE
PAJR711503OtherGROUP NUMBER
PA309990OtherUPMC INSURANCE
PAU08111Medicare UPIN