VISTA PAIN CENTER INC NPI 1366754426

NPI Information

  • NPI: 1366754426
  • Provider Name: VISTA PAIN CENTER INC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 50D2000684
  • Address: 8904 W TUCANNON AVE
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 627-2848

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NPI Details

VISTA PAIN CENTER INC is a pain medicine physical medicine rehabilitation in Kennewick, WA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. VISTA PAIN CENTER INC NPI is 1366754426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8904 W TUCANNON AVE
KENNEWICK, WA
ZIP 99336-178
Phone: (509) 627-2848
Fax: (509) 627-2849

The provider's authorized official is Wendy Korenkiewicz .
The authorized official title is Clinic Manager and has the following contact phone number (509) 627-2848.

The CLIA number assigned to this NPI record is 50D2000684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 5/27/2021.

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
12081P2900XPhysical Medicine & RehabilitationPain MedicineMD00041323WASHINGTONYes

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
17142714MEDICAIDWASHINGTON

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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