Pain South Pa Dba Hot Springs Interventional Pain Management

LBN: Pain South Pa
Pain South Pa Dba Hot Springs Interventional Pain Management is an health care organization with primary practice located at 1 Mercy Ln Suite 304, Hot Springs AR 71913-6442. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Pain South Pa can be contacted via phone (501) 321-4772, or through Abraham, Jacob E via phone (501) 321-4772.

Contact Information

Primary practice address
1 Mercy Ln Suite 304 Hot Springs AR 71913-6442
Phone: (501) 321-4772
Fax: (501) 321-3543
Website:
Map and Directions
Authorized official contact:
Name: Abraham, Jacob E Doctor of Medicine (MD)
Phone: (501) 321-4772

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1245212935
LBN Legal business name Pain South Pa
DBA Doing business as Pain South Pa Dba Hot Springs Interventional Pain Management
Authorized official Abraham, Jacob E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 5th, 2008 - about 17 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 1245212935 NPPES
Arkansas MEDICAID 121454001
Arkansas MEDICAID 125247001

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