Alabama Pain Center, Llc

LBN: Alabama Pain Center, Llc
Alabama Pain Center, Llc is an health care organization with primary practice located at 600 Whitesport Drive Suite A, Huntsville AL 35801. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Alabama Pain Center, Llc can be contacted via phone (256) 882-2003, or through Willis, Kenneth Dean via phone (256) 882-2003.

Contact Information

Primary practice address
600 Whitesport Drive Suite A Huntsville AL 35801
Phone: (256) 882-2003
Fax: (256) 705-4630
Website:
Map and Directions
Authorized official contact:
Name: Willis, Kenneth Dean Doctor of Medicine (MD)
Phone: (256) 882-2003

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 895 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 12320 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-075145 Alabama

Profile Details

NPI number 1831265776
LBN Legal business name Alabama Pain Center, Llc
DBA Doing business as
Authorized official Willis, Kenneth Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Aug 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831265776 NPPES
Alabama MEDICAID 529908240

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