Southern Idaho Pain Institute P.C. in Twin Falls - Specialist
Southern Idaho Pain Institute P.C. - NPI 1932381522
Southern Idaho Pain Institute P.C. is a Specialist in Twin Falls, Idaho. Southern Idaho Pain Institute P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Idaho Pain Institute P.C. is 1932381522. The last update date is 2013-11-05.
Southern Idaho Pain Institute P.C.'s current location address is 176 Falls Avenue, Twin Falls, Idaho. You can contact this provider via phone number 2087333181 and fax number 2087333168. The mailing address for Southern Idaho Pain Institute P.C. is 176 Falls Avenue, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Idaho Pain Institute P.C. |
|---|---|
| Address | 176 Falls Avenue, Twin Falls, Idaho |
| Phone Number | 2087333181 |
| Fax Number | 2087333168 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D./ANEST |
|---|---|
| Authorized Official Name | Dille L. Clinton |
| Telephone Number | 2087333181 |
NPI Number Detail
| NPI Number | 1932381522 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2013-11-05 |
Provider Mailing Address Detail
| Address | 176 Falls Avenue |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 83301 |
| Phone Number | 2087333181 |
| Fax Number | 2087333168 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M7113 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique provider identifier assigned to Southern Idaho Pain Institute P.C.?
The Southern Idaho Pain Institute P.C. has been issued the NPI (National Provider Identifier) 1932381522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Southern Idaho Pain Institute P.C. located?
The Southern Idaho Pain Institute P.C. is located at 176 Falls Avenue, Twin Falls, ID 83301.
What is the Southern Idaho Pain Institute P.C.'s specialty and taxonomy code?
The Southern Idaho Pain Institute P.C.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Southern Idaho Pain Institute P.C. receive its 1932381522 assignment from the Centers for Medicare & Medicaid Services?
The Southern Idaho Pain Institute P.C. was assigned its 1932381522 by the Centers for Medicare & Medicaid Services on 2007-12-05.
As of what date were the Southern Idaho Pain Institute P.C.'s details last updated?
The information pertaining to the Southern Idaho Pain Institute P.C., including its address, specialty, and other details, was most recently updated on 2013-11-05.