Provider Demographics
NPI:1891973020
Name:BEYOND HEALTHCARE S.C.
Entity Type:Organization
Organization Name:BEYOND HEALTHCARE S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:L
Authorized Official - Last Name:STROTHEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-876-7800
Mailing Address - Street 1:3412 NAMEOKI RD
Mailing Address - Street 2:
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040-3702
Mailing Address - Country:US
Mailing Address - Phone:618-876-7800
Mailing Address - Fax:618-876-7850
Practice Address - Street 1:3412 NAMEOKI RD
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-3702
Practice Address - Country:US
Practice Address - Phone:618-876-7800
Practice Address - Fax:618-876-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty