PAIN SOLUTIONS CENTER LLC NPI 1104957869

NPI Information

NPI: 1104957869
Provider Name: PAIN SOLUTIONS CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
15262 N 75TH AVE
SUITE 400
PEORIA, AZ
ZIP 85381
Phone: (623) 486-1510
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PAIN SOLUTIONS CENTER, LLC is an ambulatory surgical clinic center in Peoria, AZ. PAIN SOLUTIONS CENTER, LLC NPI is 1104957869. The provider is registered as an organization entity type.

The provider's business location address is:

15262 N 75TH AVE
SUITE 400
PEORIA, AZ
ZIP 85381-763
Phone: (623) 486-1510
Fax: (623) 486-1529

The provider's authorized official is Cindy D Gollihar .
The authorized official title is Manager and has the following contact phone number (623) 486-1510.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 3/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OTC4813	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0159630	OTHER	ARIZONA	BLUE CROSS BLUE SHIELD AZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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