Provider Type Icon

GULF COAST PAIN CONSULTANTS LLC NPI 1861965568


NPI Information

NPI: 1861965568
Provider Name: GULF COAST PAIN CONSULTANTS LLC

Doing Business As: CLEARWAY PAIN SOLUTIONS INSTITUTE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 10D2124463

Address:
135 MEDICAL PARK DR STE 2B
ANDALUSIA, AL
ZIP 36420
Phone: (850) 484-4080
Get Directions

GULF COAST PAIN CONSULTANTS LLC is a durable medical equipment medical supplies in Andalusia, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GULF COAST PAIN CONSULTANTS LLC NPI is 1861965568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clearway Pain Solutions Institute.

The provider's business location address is:

135 MEDICAL PARK DR STE 2B
ANDALUSIA, AL
ZIP 36420-352
Phone: (850) 484-4080
Fax: (850) 484-8450

The provider's authorized official is Kacey A Montgomery .
The authorized official title is Medical Director and has the following contact phone number (850) 791-6895.

The CLIA number assigned to this NPI record is 10D2124463 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 4/19/2023.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.