ADVANCED PAIN CLINIC – NPI #1295055648
Clinic/Center

ADVANCED PAIN CLINIC is an AHC clinic located in HUMBOLDT, IA. NPPES has assigned the NPI number 1295055648 to ADVANCED PAIN CLINIC on June 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED PAIN CLINIC” is a dba name, the actual legal business name for this organization is PAIN BE-GONE ANESTHESIA SERVICES INC. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 8 years ago on Aug 18, 2018. 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 ADVANCED PAIN CLINIC below.

NPI Profile for
PAIN BE-GONE ANESTHESIA SERVICES INC

NPI Number
1295055648
Enumeration Date

(more than 16 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
PAIN BE-GONE ANESTHESIA SERVICES INC
Doing Business As (dba): ADVANCED PAIN CLINIC
Primary location
1001 12TH ST N
HUMBOLDT, IA 50548
Phone: (515) 604-6618 Fax: (515) 604-6627
Mailing address
PO BOX 265
HUMBOLDT, IA 50548-0265
Phone: (515) 604-6618 Fax: (515) 604-6627
Organization Subpart
No
Authorized Official
GREGORY PEKKALA
PAIN SPECIALIST
Phone: (515) 604-6618
Updated
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
261QP3300X
- Clinic/Center / Pain (Primary)		 IA 367500000X

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.