PAIN CENTER INC NPI 1740582303

NPI Information

NPI: 1740582303
Provider Name: PAIN CENTER INC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
633 N 4TH ST
BOISE, ID
ZIP 83702
Phone: (208) 342-9800
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PAIN CENTER INC is a pain clinic center in Boise, ID. PAIN CENTER INC NPI is 1740582303. The provider is registered as an organization entity type.

The provider's business location address is:

633 N 4TH ST
BOISE, ID
ZIP 83702-510
Phone: (208) 342-9800
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 12/2/2010 and was last updated on 3/27/2024.

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	004277900	MEDICAID	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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