Provider Demographics
NPI:1932138864
Name:CHIROPRACTIC HEALTH CARE ASSOCIATES P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CARE ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-366-2225
Mailing Address - Street 1:P.O. BOX 996
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52406-0996
Mailing Address - Country:US
Mailing Address - Phone:319-366-2225
Mailing Address - Fax:319-366-1726
Practice Address - Street 1:515 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2132
Practice Address - Country:US
Practice Address - Phone:319-366-2225
Practice Address - Fax:319-366-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA022 04832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1187906Medicaid
IAT01089Medicare UPIN
IA1187906Medicaid