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PAIN SOUTH PA NPI 1245212935


NPI Information

NPI: 1245212935
Provider Name: PAIN SOUTH PA

Doing Business As: PAIN SOUTH PA DBA HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1 MERCY LN
SUITE 304
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 321-4772
Get Directions

PAIN SOUTH PA is a pain clinic center in Hot Springs, AR. PAIN SOUTH PA NPI is 1245212935. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain South Pa Dba Hot Springs Interventional Pain Management.

The provider's business location address is:

1 MERCY LN
SUITE 304
HOT SPRINGS, AR
ZIP 71913-442
Phone: (501) 321-4772
Fax: (501) 321-3543

The provider's authorized official is Jacob E Abraham .
The authorized official title is Officer and has the following contact phone number (501) 321-4772.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 11/5/2008.


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
1261QP3300XClinic/CenterPainYes

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
1F80667MEDICARE UPINARKANSAS
2121454001MEDICAIDARKANSAS
3E51678MEDICARE UPINARKANSAS
4125247001MEDICAIDARKANSAS
55J413MEDICARE ID-TYPE UNSPECIFIEDARKANSASDR ABRAHAM'S MEDICARE #
655507MEDICARE ID-TYPE UNSPECIFIEDARKANSASDR BOOS MEDICARE #
75B556MEDICARE PINARKANSAS

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: 4/28/2024

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