| Organization Name: | FAMILY CHIROPRACTIC HEALTH CENTER PC |
| NPI Number: | 1194090142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LLOYD E NELSON (OWNER) |
| Mailing Address: | 2899 10th St Baker City |
| State: | OR US |
| Postal Code: | 978141403 |
| Phone Number: | 5415236565 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2012 |
| NPI Last Update Date: | 04/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 2101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |