Tri-State Pain Management Service Inc

LBN: Tri-State Pain Management Service Inc
Tri-State Pain Management Service Inc is an health care organization with primary practice located at 4415 Aicholtz Rd , Cincinnati OH 45245-1506. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Tri-State Pain Management Service Inc can be contacted via phone (859) 341-7246, or through Ashley, Jewell via phone (513) 624-7525.

Contact Information

Primary practice address
4415 Aicholtz Rd Cincinnati OH 45245-1506
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Map and Directions
Authorized official contact:
Name: Ashley, Jewell
Phone: (513) 624-7525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1275705048
LBN Legal business name Tri-State Pain Management Service Inc
DBA Doing business as
Authorized official Ashley, Jewell
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Mar 24th, 2020 - about 4 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 1275705048 NPPES
Indiana MEDICAID 200529320A
Indiana Other 284941995017
Indiana Other 5124498
Indiana MEDICAID 65944233
Indiana Other 728014
Indiana Other 610168000
Indiana MEDICAID 2044773

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