Organization Active NPI

Pain, Injury & Brain Centers of America MN LLC

  • Pain Clinic/Center
  • Savage, MN
National Provider Identifier
1962774745
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PAIN, INJURY & BRAIN CENTERS OF AMERICA MN LLC
Practice address
14247 Oconnell CT
Savage, MN 55378-2878
Phone
(507) 269-1051
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sue Henry
Title
Owner
Phone
(507) 269-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

14247 Oconnell CT
Savage, MN 55378-2878

Mailing address

17838 25TH St SE
Dover, MN 55929-1500
Phone (507) 269-1051

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1962774745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17838 25TH ST SE",
            "city": "DOVER",
            "state": "MN",
            "postal_code": "559291500",
            "telephone_number": "507-269-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14247 OCONNELL CT",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782878",
            "telephone_number": "507-269-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN, INJURY & BRAIN CENTERS OF AMERICA MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-269-1051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.