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ROCKY MOUNTAIN PAIN RELIEF CENTER NPI 1316060999


NPI Information

NPI: 1316060999
Provider Name: ROCKY MOUNTAIN PAIN RELIEF CENTER
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
630 15TH AVE
SUITE 104
LONGMONT, CO
ZIP 80501
Phone: (303) 776-5700
Get Directions

ROCKY MOUNTAIN PAIN RELIEF CENTER is an interventional pain medicine pain medicine in Longmont, CO. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ROCKY MOUNTAIN PAIN RELIEF CENTER NPI is 1316060999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 15TH AVE
SUITE 104
LONGMONT, CO
ZIP 80501-700
Phone: (303) 776-5700
Fax: (303) 776-5701

The provider's authorized official is James Dewey Thacker .
The authorized official title is President and has the following contact phone number (303) 776-5700.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 3/4/2008.


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
1208VP0014XPain MedicineInterventional Pain Medicine40660COLORADOYes

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
1C803292MEDICARE PINCOLORADO
2C71589MEDICARE UPIN

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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