| Interventional Pain Specialists Of Bowling Green, Plc | |
|
1216 N Race St Glasgow KY 42141-3462 | |
| (270) 651-7246 | |
| (270) 282-2027 |
| Full Name | Interventional Pain Specialists Of Bowling Green, Plc |
|---|---|
| Speciality | Anesthesiology |
| Location | 1216 N Race St, Glasgow, Kentucky |
| Authorized Official Name and Position | Robert Keith Norman (OWNER/PRESIDENT) |
| Authorized Official Contact | 2703931912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Pain Specialists Of Bowling Green, Plc 350 Park St Ste 203b Bowling Green KY 42101-1784 Ph: (270) 393-1912 | Interventional Pain Specialists Of Bowling Green, Plc 1216 N Race St Glasgow KY 42141-3462 Ph: (270) 651-7246 |
| NPI Number | 1306221841 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 6608931035 |
|---|---|
| Medicare Enrollment ID | O20151112003194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306221841 | NPI | - | NPPES |
| 7100062970 | Other | KY | CRNA GROUP MEDICAID NUMBER |
| 7100152630 | Medicaid | KY | |
| 7100063360 | Medicaid | KY | |
| 7100097740 | Medicaid | KY |
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