THE PAIN CENTER NPI 1265613905

NPI Information

  • NPI: 1265613905
  • Provider Name: THE PAIN CENTER
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • CLIA Number: 13D2014037
  • Address: 1673 W. SHORELINE DR.
    STE 100
    BOISE, ID
    ZIP 83702
  • Phone: (208) 342-9800

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NPI Details

THE PAIN CENTER is a pain clinic center in Boise, ID. THE PAIN CENTER NPI is 1265613905. The provider is registered as an organization entity type.

The provider's business location address is:

1673 W. SHORELINE DR.
STE 100
BOISE, ID
ZIP 83702
Phone: (208) 342-9800
Fax: (208) 342-4223

The provider's authorized official is Sandra A Thompson .
The authorized official title is Md and has the following contact phone number (208) 342-9800.

The CLIA number assigned to this NPI record is 13D2014037 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 11/23/2007.

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
1261QP3300XClinic/CenterPainM5883IDAHOYes

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
1F18059MEDICARE UPINIDAHO

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: 3/30/2025

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