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Contact Information

FORD CENTER FOR PAIN MANAGEMENT
2020 KEITH ST NW
STE C
CLEVELAND, TN37311-1351
 Phone: 423-614-0535
 Fax: 423-614-0545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for FORD CENTER FOR PAIN MANAGEMENT

NPI Number 1619009065
LBN Legal business name FORD CENTER FOR PAIN MANAGEMENT
Authorized official DENNIS FORD - (OWNER SUPERVISING M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 04/28/2010 - About 16 years ago
Identifiers
TN License # 10501
TN License # 1196
TN License # 12143
TN Medicaid 3377550
TN Other 44D1041380 DEPT HEALTH CLIA
TN Other 4041359 MD BLUE CROSS BLUE SHIELD
TN Other 3377550 MEDICARE GROUP
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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