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 4900 Houston Rd , Florence KY 41042-4824. 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 Atluri, Sairam L via phone (859) 341-7246.

Contact Information

Primary practice address
4900 Houston Rd Florence KY 41042-4824
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Map and Directions
Authorized official contact:
Name: Atluri, Sairam L Doctor of Medicine (MD)
Phone: (859) 341-7246

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 1457621898
LBN Legal business name Tri-State Pain Management Service Inc
DBA Doing business as
Authorized official Atluri, Sairam L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2012
Last updated Mar 20th, 2012 - about 13 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 1457621898 NPPES
Kentucky MEDICAID 65944233
Kentucky MEDICAID 2044773
Kentucky Other 000000388145
Kentucky Other 28494199500
Kentucky Other 5124498
Kentucky Other 728014
Kentucky MEDICAID 200377720
Kentucky Other 284941995

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