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OCOTILLO TREATMENT CENTER LLC NPI 1871085902


NPI Information

NPI: 1871085902
Provider Name: OCOTILLO TREATMENT CENTER, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 03D2176015

Address:
3645 S ROME ST STE 204
GILBERT, AZ
ZIP 85297
Phone: (480) 771-4400
Get Directions

OCOTILLO TREATMENT CENTER, LLC is an interventional pain medicine pain medicine in Gilbert, AZ. 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. OCOTILLO TREATMENT CENTER, LLC NPI is 1871085902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3645 S ROME ST STE 204
GILBERT, AZ
ZIP 85297-338
Phone: (480) 771-4400

The provider's authorized official is Taicha L Maldonado .
The authorized official title is Manager and has the following contact phone number (480) 441-7700.

The CLIA number assigned to this NPI record is 03D2176015 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 1/2/2020.


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 MedicineYes
2261Q00000XClinic/CenterNo

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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