Wind River Pain Management, Llc in Fort Collins - Pain
Wind River Pain Management, Llc - NPI 1104992296
Wind River Pain Management, Llc is a Pain in Fort Collins, Colorado. Wind River Pain Management, Llc practices all healthcare services and medical treatments related to Pain. The NPI Number for Wind River Pain Management, Llc is 1104992296. The last update date is 2020-08-22.
Wind River Pain Management, Llc's current location address is 5873 Highland Hills Cir, Fort Collins, Colorado. You can contact this provider via phone number 9704209904. The mailing address for Wind River Pain Management, Llc is 5873 Highland Hills Cir, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wind River Pain Management, Llc |
|---|---|
| Address | 5873 Highland Hills Cir, Fort Collins, Colorado |
| Phone Number | 9704209904 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Derrisaw Alan James |
| Credentials | M.D. |
| Telephone Number | 9704209904 |
NPI Number Detail
| NPI Number | 1104992296 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5873 Highland Hills Cir |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805288941 |
| Phone Number | 9704209904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain |
|---|---|
| Taxonomy | 261Qp3300X |
| Licence No | 39525 |
|
Definition: Evaluates and manages acute and chronic pain through interventional, behavioral and alternative approaches. |
|
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What is the unique 10-digit identifier code assigned to Wind River Pain Management, Llc by the Centers for Medicare & Medicaid Services?
The Wind River Pain Management, Llc has been issued the NPI (National Provider Identifier) 1104992296 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Wind River Pain Management, Llc located?
The Wind River Pain Management, Llc is located at 5873 Highland Hills Cir, Fort Collins, CO 805288941.
What is the area of specialization for Wind River Pain Management, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wind River Pain Management, Llc is Pain, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp3300X.
On what date was the 1104992296 assigned to Wind River Pain Management, Llc?
The Wind River Pain Management, Llc was issued its 1104992296 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wind River Pain Management, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wind River Pain Management, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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