MEDICARE: TRUE CHIROPRACTIC HEALTH CENTER INC

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	:	1982698379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE CHIROPRACTIC HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	161 N PARK SQUARE
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521
Country	:	US
Telephone Number	:	970-858-3511
Fax Number	:	970-858-9778

Provider Business Practice Location Address
First Line	:	161 N PARK SQUARE
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521
Country	:	US
Telephone Number	:	970-858-3511
Fax Number	:	970-858-9778

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DORIS D COOPER
Credential	:
Telephone Number	:	970-858-3511

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	08/22/2020

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