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Contact Information

BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
201 PARK ST.
MCCALL, ID83638-1005
 Phone: 208-634-8129
 Fax: 208-634-7651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.

NPI # 1861555286
LBN Legal business name BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
Authorized official IRWIN MULNICK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
ID License # CHIA578
ID License # CHIA595
ID Other C5782 BLUE CROSS IRWIN MULNICK
ID Other C9446 BLUE CROSS, UMA MULNICK
ID Other CHIA578 IRWIN MULNICK LICENSE #
ID Other CHIA595 UMA MULNICK, LICENSE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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