Provider Demographics
NPI:1477068815
Name:NON NARCOTIC PAIN MANAGEMENT CLINIC
Entity Type:Organization
Organization Name:NON NARCOTIC PAIN MANAGEMENT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE AND OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-532-4379
Mailing Address - Street 1:1100 SW WANAMAKER RD STE 205
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2678
Mailing Address - Country:US
Mailing Address - Phone:785-215-8228
Mailing Address - Fax:
Practice Address - Street 1:1100 SW WANAMAKER RD STE 205
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2678
Practice Address - Country:US
Practice Address - Phone:785-215-8228
Practice Address - Fax:785-215-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty