Hayden Lake Chiropractic PA
NPI 1417370511ActiveOrganization· Chiropractor· Hayden, ID
Chiropractor in Hayden, Idaho, registered in NPPES in January 2014. The authorized official on file is Kevin Robert Marsh, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417370511 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2014 |
| Last updated in NPPES | Jan 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-699 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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