KEARNEY PAIN TREATMENT CENTER LLC NPI 1881031235

NPI Information

NPI: 1881031235
Provider Name: KEARNEY PAIN TREATMENT CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 28D2072046

Address:
920 E 56TH ST
SUITE D
KEARNEY, NE
ZIP 68847
Phone: (308) 236-7470
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KEARNEY PAIN TREATMENT CENTER, LLC is an ambulatory surgical clinic center in Kearney, NE. KEARNEY PAIN TREATMENT CENTER, LLC NPI is 1881031235. The provider is registered as an organization entity type.

The provider's business location address is:

920 E 56TH ST
SUITE D
KEARNEY, NE
ZIP 68847-628
Phone: (308) 236-7470

The provider's authorized official is Darian D Pike .
The authorized official title is Administrator and has the following contact phone number (083) 455-3091.

The CLIA number assigned to this NPI record is 28D2072046 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 2/13/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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