Provider Demographics
NPI:1366589475
Name:CLINCH FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:CLINCH FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CLINCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-343-7100
Mailing Address - Street 1:660 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-1506
Mailing Address - Country:US
Mailing Address - Phone:605-343-7100
Mailing Address - Fax:605-343-7102
Practice Address - Street 1:660 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-1506
Practice Address - Country:US
Practice Address - Phone:605-343-7100
Practice Address - Fax:605-343-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD669261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center