THE PAIN CENTER NPI 1669658779

NPI Information

NPI: 1669658779
Provider Name: THE PAIN CENTER
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1673 SHORELINE DR
STE 140
BOISE, ID
ZIP 83702
Phone: (208) 432-9800
Get Directions

THE PAIN CENTER is a pain clinic center in Boise, ID. THE PAIN CENTER NPI is 1669658779. The provider is registered as an organization entity type.

The provider's business location address is:

1673 SHORELINE DR
STE 140
BOISE, ID
ZIP 83702-750
Phone: (208) 432-9800
Fax: (208) 342-4223

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

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	M5883	IDAHO	Yes

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
1	11244955	MEDICARE PIN	IDAHO
2	F18059	MEDICARE UPIN	IDAHO

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

NPI Synchronization or Removal

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