OrganizationSams ChiropracticChiropractorChiropractic ProvidersPractice Address1900 N Lakes Pl, Suite 100, Meridian, ID 83646-6231(208) 888-7242PECOS EnrollmentBased on the most recent information from CMS, provider Sams Chiropractic 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 ID1710288865Provider TypeOrganizationFull NameSams ChiropracticSubpartNoEnumeration Date11/5/2010Last Updated6/16/2011Contact InformationPractice LocationPractice Address1900 N Lakes Pl, Suite 100, Meridian, ID 83646-6231Phone(208) 888-7242Fax(208) 888-7263Mailing LocationMailing AddressPO Box 837, Meridian, ID 83680-0837Phone(208) 888-7242Fax(208) 888-7263Authorized OfficialNameSams, Robert Barry (President)Phone(208) 888-7242Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA410Idaho