Provider Demographics
NPI:1285835231
Name:QUALITY PAIN THERAPIES
Entity Type:Organization
Organization Name:QUALITY PAIN THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-614-4300
Mailing Address - Street 1:1941 S 42ND ST STE 400
Mailing Address - Street 2:THE CENTER MALL
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2939
Mailing Address - Country:US
Mailing Address - Phone:402-614-4300
Mailing Address - Fax:402-934-5081
Practice Address - Street 1:1941 S 42ND ST STE 400
Practice Address - Street 2:THE CENTER MALL
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2939
Practice Address - Country:US
Practice Address - Phone:402-614-4300
Practice Address - Fax:402-934-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1285835231Medicaid
NE36958OtherBC/BS
NE10025579100Medicaid
NEF253316OtherMIDLANDS CHOIC
NE217859OtherHEALTHPARTNERS
NE1285835231OtherTRICARE
NE612508800OtherACS
NE612508800OtherACS
NE=========OtherGEHA/PPO USA
NE36958OtherBC/BS
NE=========OtherLANCASTER CO GEN ASSIST
NE=========OtherCORVELL
NE10025579100Medicaid