Club West Chiropractic PA
NPI 1427447432ActiveOrganization· Chiropractor· Blaine, MN
Chiropractor in Blaine, Minnesota, registered in NPPES in January 2015. The authorized official on file is Alycean Maryrae Bergh, DC, Vp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427447432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2015 |
| Last updated in NPPES | Oct 25, 2026 |
| Certified by provider | Oct 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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