Idealspine Health Center
NPI 1639429541ActiveOrganization· Chiropractor, Rehabilitation· Eagle, ID
Chiropractor, Rehabilitation in Eagle, Idaho, registered in NPPES in September 2012. The authorized official on file is Shirlene Harrison, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639429541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2012 |
| Last updated in NPPES | Feb 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | CHIA-1168 | ID |
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 (ID) |
|---|
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