SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE – NPI #1861752032
Clinic/Center

SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE is an AHC clinic located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1861752032 to SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE on May 22, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE below.

NPI Profile for
SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE

NPI Number
1861752032
Enumeration Date

(more than 14 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
SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE
Primary location
2269 WILMA RUDOLPH BLVD
SUITE 102
CLARKSVILLE, TN 37040-3179
Phone: (931) 905-1720 Fax: (931) 905-1721
Mailing address
Same as primary location
Organization Subpart
Yes - SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE is subpart of another organization.
Authorized Official
KYLE LONGO
OWNER
Phone: (931) 905-1720
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)

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.