OrganizationStork Spinal Care PcChiropractorChiropractic ProvidersPractice Address2011 N Locust Grove Rd, Meridian, ID 83646-1827(208) 888-8797PECOS EnrollmentBased on the most recent information from CMS, provider Stork Spinal Care Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285828707Provider TypeOrganizationFull NameStork Spinal Care PcSubpartNoEnumeration Date8/28/2007Last Updated1/15/2008Contact InformationPractice LocationPractice Address2011 N Locust Grove Rd, Meridian, ID 83646-1827Phone(208) 888-8797FaxUnlisted FaxMailing LocationMailing Address2011 N Locust Grove Rd, Meridian, ID 83646-1827Phone(208) 888-8797FaxUnlisted FaxAuthorized OfficialNameStork, Robert A (President)Phone(208) 888-8797Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer