CENTER FOR PAIN MANAGEMENT & REHAB S. C . – NPI #1801061650
Clinic/Center

CENTER FOR PAIN MANAGEMENT & REHAB S. C . is an AHC clinic located in PEORIA, IL. NPPES has assigned the NPI number 1801061650 to CENTER FOR PAIN MANAGEMENT & REHAB S. C . on April 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 11 years ago on Nov 06, 2015. 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 CENTER FOR PAIN MANAGEMENT & REHAB S. C . below.

NPI Profile for
CENTER FOR PAIN MANAGEMENT & REHAB S. C .

NPI Number
1801061650
Enumeration Date

(more than 18 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
CENTER FOR PAIN MANAGEMENT & REHAB S. C .
Primary location
5401 N KNOXVILLE AVE
SUITE 117
PEORIA, IL 61614-5095
Phone: (309) 689-8888 Fax: (309) 689-8410
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
YIBING LI
PRESIDENT
Phone: (309) 696-3300
Updated
Identifiers

Identifiers for CENTER FOR PAIN MANAGEMENT & REHAB S. C .

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREDN7761
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)		 IL 036113585
261QR0400X
- Clinic/Center / Rehabilitation		 IL 036113585

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.