PAIN CENTER INC (NPI# 1740582303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740582303 |
| Entity Type | Organization |
| Organization Name | PAIN CENTER INC |
| Practice Address |
633 N 4th St Boise ID 83702-4510 |
| Practice Telephone | 2083429800 |
| Practice Fax Number | 2083424223 |
| Mailing Telephone | 2083429800 |
| Mailing Fax Number | 2083424223 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | DR. SANDRA A THOMPSON (OWNER) |
| Authorized Official Telephone | 2083429800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
M5883 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 004277900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 S Kimball Avenue, Caldwell, ID 836054510 | 2084553535 | 2084555190 |
| Street Address |
633 N 4TH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085713 | Sandra A Thompson | Anesthesiology | 633 N 4th St, Boise, ID 83702-4510 | 2006-06-02 |
| 1891116653 | Alla Osipchuk | Registered Nurse | 633 N 4th St, Boise, ID 83702-4510 | 2013-12-20 |
| 1114140910 | Lee Ann Conrad | Physician Assistant | 633 N 4th St, Boise, ID 83702-4510 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265613905 | The Pain Center | Clinic/Center | 1673 W. Shoreline Dr., Ste 100, Boise, ID 83702 | 2007-11-23 |
| 1669658779 | The Pain Center | Clinic/Center | 1673 Shoreline Dr, Ste 140, Boise, ID 83702-6750 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699912287 | Rit Clinics | Clinic/Center | 1188 Call Creek Dr, Pocatello, ID 83201-3000 | 2009-01-19 |
| 1215153432 | Living Waters Coordinated Communities, Inc. | Clinic/Center | 2108 N Ironwood Center Dr, Coeur D Alene, ID 83814 | 2007-04-17 |
| 1942813134 | Phoenix Health LLC | Clinic/Center | 3142 W Belltower Dr, Meridian, ID 83646-4882 | 2020-08-26 |
| 1316305519 | Quality Sleep Anesthesia P.C. | Clinic/Center | 3155 Channing Way Ste A, Idaho Falls, ID 83404 | 2016-02-02 |
| 1982093357 | Pain Care Clinic of Idaho, P.C. | Clinic/Center | 742 E State St, Suite 150, Eagle, ID 83616-5941 | 2015-01-22 |
| 1942571229 | Osteoarthritis Centers of America Medical Group PC | Clinic/Center | 1097 N Rosario St, Suite 110, Meridian, ID 83642-8095 | 2012-01-19 |
| 1063725083 | Pain Specialists of Idaho | Clinic/Center | 2375 E Sunnyside Rd, Suite 'j', Idaho Falls, ID 83404-8280 | 2010-07-19 |
| 1194826750 | Catherine L. Linderman Md Pllc | Clinic/Center | 2375 E Sunnyside Rd, Suite A, Idaho Falls, ID 83404-8280 | 2006-09-26 |
| 1295836864 | Catherine L Linderman | Clinic/Center | 2375 E Sunnyside Rd, Idaho Falls, ID 83404-8280 | 2006-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.