Alpine Spinal Rehabilitation Ctr
NPI 1578731949ActiveOrganization· Chiropractor· Provo, UT
Chiropractor in Provo, Utah, registered in NPPES in February 2008. The authorized official on file is Jerry Clark, D.C., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578731949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2008 |
| Last updated in NPPES | Dec 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 166844-1202 | UT |
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 (UT) |
|---|
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