FLAGSTAFF PAIN AND TREATMENT CENTER – NPI #1568009801
Clinic/Center

FLAGSTAFF PAIN AND TREATMENT CENTER is an AHC clinic located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1568009801 to FLAGSTAFF PAIN AND TREATMENT CENTER on December 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is FLAGSTAFF PAIN AND TREATMENT CENTER, L.L.C.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Dec 29, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLAGSTAFF PAIN AND TREATMENT CENTER below.

NPI Profile for
FLAGSTAFF PAIN AND TREATMENT CENTER

NPI Number
1568009801
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLAGSTAFF PAIN AND TREATMENT CENTER
Former Legal Business Name: FLAGSTAFF PAIN AND TREATMENT CENTER, L.L.C.
Primary location
823 N SAN FRANCISCO ST STE A
FLAGSTAFF, AZ 86001-3265
Phone: (602) 903-0360 Fax:
Mailing address
11811 N TATUM BLVD STE 3031
PHOENIX, AZ 85028-1621
Phone: (602) 903-0360 Fax:
Organization Subpart
No
Authorized Official
SUSAN NANCE
MANAGER
Phone: (602) 903-0360
Updated
Certification Date
Dec 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.