| Advanced Pain Care Clinic Psc | |
|
1101 Professional Blvd Evansville IN 47714-8001 | |
| (812) 477-7246 | |
| (812) 477-7240 |
| Full Name | Advanced Pain Care Clinic Psc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1101 Professional Blvd, Evansville, Indiana |
| Authorized Official Name and Position | Linda Hunter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8124777246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pain Care Clinic Psc Po Box 5249 Evansville IN 47716-5249 Ph: (812) 477-7246 | Advanced Pain Care Clinic Psc 1101 Professional Blvd Evansville IN 47714-8001 Ph: (812) 477-7246 |
| NPI Number | 1942378112 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942378112 | NPI | - | NPPES |
| 65942427 | Medicaid | KY | |
| 200497580A | Medicaid | IN |
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