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PAIN AND BRAIN HEALING CENTER, LLC
NPI 1184867319
Clinic/Center in Blaine, MN

Active since April 17, 2009
1400 131ST AVE NE, BLAINE, MN 55449(763) 862-7100 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pain And Brain Healing Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN AND BRAIN HEALING CENTER, LLC (NPI 1184867319) is a healthcare organization registered as a clinic/center in Blaine, Minnesota and active in the NPI registry since April 2009. The organization lists Gregory Charles Fors, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1184867319
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePAIN AND BRAIN HEALING CENTER, LLC
Location Address1400 131ST AVE NEBlaine, MN 55449-4124
Mailing Address1400 131st Ave NeBlaine, MN 55449-4124 · (763) 862-7100 · Fax (763) 862-7077
Phone(763) 862-7100
Organization SubpartNo
Authorized OfficialGregory Charles ForsClinic Director · (763) 862-7100
Enumeration DateApril 17, 2009
Last NPPES UpdateMay 1, 2015
✔ NPI 1184867319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MN · 1836
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1400 131ST AVE NE, Blaine, MN 55449
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON CUSTOM SERVICES, LLC
In Home Supportive Care
1400 131ST AVE NE
BLAINE, MN 55449
Anoka County (763) 412-7519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain And Brain Healing Center, LLC's NPI number?

The NPI number for Pain And Brain Healing Center, LLC is 1184867319. It was assigned to this organization in the NPPES registry on April 17, 2009.

Where is Pain And Brain Healing Center, LLC located?

Pain And Brain Healing Center, LLC is located at 1400 131st Ave NE, Blaine, MN 55449. The listed phone number is (763) 862-7100.

What is Pain And Brain Healing Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pain And Brain Healing Center, LLC was last updated on May 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.