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COMMONWEALTH PAIN ASSOCIATES PLLC NPI 1215443874


NPI Information

NPI: 1215443874
Provider Name: COMMONWEALTH PAIN ASSOCIATES, PLLC

Doing Business As: COMMONWEALTH PAIN & SPINE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2609 NEW HARTFORD RD STE 3
OWENSBORO, KY
ZIP 42303
Phone: (812) 476-7111
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COMMONWEALTH PAIN ASSOCIATES, PLLC is a durable medical equipment medical supplies in Owensboro, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COMMONWEALTH PAIN ASSOCIATES, PLLC NPI is 1215443874. The provider is registered as an organization entity type.
The provider Is Doing Business As Commonwealth Pain & Spine.

The provider's business location address is:

2609 NEW HARTFORD RD STE 3
OWENSBORO, KY
ZIP 42303-316
Phone: (812) 476-7111
Fax: (812) 476-7117

The provider's authorized official is Jason Carnes Lewis .
The authorized official title is Owner and has the following contact phone number (502) 855-7200.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 4/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100536000MEDICAIDKENTUCKY

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

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