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Contact Information

ADVANCED PAIN MANAGEMENT CENTER, PSC
1170 E. BROADWAY
SUITE 300
LOUISVILLE, KY40204-1761
 Phone: 502-589-0900
 Fax: 502-589-9075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN MANAGEMENT CENTER, PSC

NPI Number 1588615777
LBN Legal business name ADVANCED PAIN MANAGEMENT CENTER, PSC
Authorized official JAIME GUERRERO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2006
Last updated 03/07/2014 - About 12 years ago
Identifiers
KY License # 37035
IN Medicaid 200886370A
KY Medicaid 7100039170
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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