ARKANSAS PAIN THERAPY MENA CLINIC LLC - NPI 1972367670

Q: What is Arkansas Pain Therapy Mena Clinic LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

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About Arkansas Pain Therapy Mena Clinic Llc NPPES

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

ARKANSAS PAIN THERAPY MENA CLINIC LLC (NPI 1972367670) is a healthcare organization registered as an interventional pain medicine in Mena, Arkansas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Mark Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1972367670

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameARKANSAS PAIN THERAPY MENA CLINIC LLC

Location Address1102 CRESTWOOD CIRMena, AR 71953-5513

Mailing Address5601 Captains LnWilmington, NC 28409-3619 · (910) 200-5238 · Fax (877) 296-5238

Phone(479) 234-4433

Fax(479) 234-4445

Organization SubpartNo

Authorized OfficialMark AdamsOwner · (479) 234-4433

Enumeration DateFebruary 12, 2024

Last NPPES UpdateOctober 7, 2024

NPPES CertifiedOctober 7, 2024

✔ NPI 1972367670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

1102 CRESTWOOD CIR, Mena, AR 71953

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2321450

Arkansas Pain Therapy · Mena, AR

Active · expires Apr 3, 2027

CLIA Number04D2321450

Laboratory TypePhysician Office

Certificate Effective DateApril 4, 2025

Certificate Expiration DateApril 3, 2027

Laboratory DirectorDr. Michael Adams

Laboratory Phone(479) 234-4433

Laboratory LocationArkansas Pain Therapy1102 Crestwood Circle, Mena, AR 71953

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MENA HOSPITAL COMMISSION

Clinic/Center (Rural Health)