Provider Demographics
NPI:1578572624
Name:ALBION FAMILY CHIROPRACTIC CENTER P.C.
Entity Type:Organization
Organization Name:ALBION FAMILY CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEDLUND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-395-2233
Mailing Address - Street 1:2583 S. HWY 14
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-5910
Mailing Address - Country:US
Mailing Address - Phone:402-395-2233
Mailing Address - Fax:402-395-2575
Practice Address - Street 1:2583 S. HWY 14
Practice Address - Street 2:SUITE 2
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-5910
Practice Address - Country:US
Practice Address - Phone:402-395-2233
Practice Address - Fax:402-395-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE=========00Medicaid