Center For Pain Management

LBN: Charles H. Tadlock, M.D. Ltd.
Center For Pain Management is an health care organization with primary practice located at 1912 Miami Ave , Kingman AZ 86401-4127. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Charles H. Tadlock, M.D. Ltd. can be contacted via phone (702) 474-0200, or through Shaffer, Tammy R via phone (702) 474-0200.

Contact Information

Primary practice address
1912 Miami Ave Kingman AZ 86401-4127
Phone: (702) 474-0200
Fax: (702) 946-5328
Website:
Map and Directions
Authorized official contact:
Name: Shaffer, Tammy R
Phone: (702) 474-0200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 26067 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4873 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4247 Arizona

Profile Details

NPI number 1548422876
LBN Legal business name Charles H. Tadlock, M.D. Ltd.
DBA Doing business as Center For Pain Management
Authorized official Shaffer, Tammy R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Feb 18th, 2014 - about 10 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 1548422876 NPPES
Arizona Other 35714 MEDICARE INDIVIDUAL PIN (TADLOCK)
Arizona Other Z149395 MEDICARE INDIVIDUAL PIN (TADLOCK)
Arizona MEDICAID 069618 MEDICARE INDIVIDUAL PIN (TADLOCK)
Arizona Other Z146133 MEDICARE INDIVIDUAL PIN (TADLOCK)
Arizona Other 720000127 MEDICARE INDIVIDUAL PIN (TADLOCK)

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