CENTER FOR PAIN MANAGEMENT LLC; NPI #1891717195

Contact Information

CENTER FOR PAIN MANAGEMENT LLC

4745 E CAMP LOWELL DR
TUCSON, AZ 85712-1256

Phone: 520-506-0100
Fax: 520-485-5440
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for CENTER FOR PAIN MANAGEMENT LLC

NPI Number 1891717195

LBN Legal business name CENTER FOR PAIN MANAGEMENT LLC

Authorized official KRISTINA MUSIC - (DIRECTOR OF PROVIDER ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 08/14/2024 - More than a year ago

Identifiers

AZ	Medicaid	155229
AZ	Other	OTC9330	STATE LICENSE

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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