MEDICARE: 319 SPORT AND SPINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1881308013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	319 SPORT AND SPINE LLC

Provider Business Mailing Address
First Line	:	2000 SWAN LAKE BLVD STE 2
Second Line	:
City	:	INDEPENDENCE
State	:	IA
Zip	:	50644-2743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 SWAN LAKE BLVD STE 2
Second Line	:
City	:	INDEPENDENCE
State	:	IA
Zip	:	50644-2743
Country	:	US
Telephone Number	:	319-327-4416
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAMERON D HAYWARD
Credential	:	DC
Telephone Number	:	319-327-4416

Provider Enumeration Date	:	01/11/2023
Last Update Date	:	05/03/2023

Similar Medicare Providers

1275491649 — NICOLE LEE MCGREEVY
Practice Location Address:

1105 5TH ST NE
INDEPENDENCE, IA
50644-2131

Practice Phone: 563-920-3180
Practice Fax:

1477953628 — CORTNEY LYNN ALBER LISW
Practice Location Address:

324 1ST ST E STE A
INDEPENDENCE, IA
50644-2815

Practice Phone: 319-849-5185
Practice Fax:

1689670598 — DR. MARK M ZIMMER OD
Practice Location Address:

216 2ND ST NE
INDEPENDENCE, IA
50644-1910

Practice Phone: 319-334-3631
Practice Fax: 319-334-3631

1427055375 — DR. RICKY R MCCORMICK D.O.
Practice Location Address:

1600 1ST ST E
INDEPENDENCE, IA
50644-3155

Practice Phone: 319-334-2541
Practice Fax: 319-334-7054

1992707525 — ABCM CORPORATION
Practice Location Address:

1700 3RD ST NE
INDEPENDENCE, IA
50644-2264

Practice Phone: 319-334-7015
Practice Fax: 319-334-7016

1588666127 — ABCM CORPORATION
Practice Location Address:

1610 3RD ST NE
INDEPENDENCE, IA
50644-2228

Practice Phone: 319-334-6039
Practice Fax: 319-334-9025

Directions to “319 SPORT AND SPINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.