Proactive Pain Center

LBN: Proactive Pain Center
Proactive Pain Center is an health care organization with primary practice located at 10965 S State St , Sandy UT 84070-4270. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Proactive Pain Center can be contacted via phone (385) 414-6267, or through Cunningham, Jodie via phone (385) 414-6267.

Contact Information

Primary practice address
10965 S State St Sandy UT 84070-4270
Phone: (385) 414-6267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cunningham, Jodie
Phone: (385) 414-6267

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Utah
Managed Care Organizations / Point of Service 305S00000X Utah

Profile Details

NPI number 1770961955
LBN Legal business name Proactive Pain Center
DBA Doing business as
Authorized official Cunningham, Jodie
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2015
Last updated Jul 21st, 2022 - about 3 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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