Provider Demographics
NPI:1922879345
Name:COMPREHENSIVE PAIN AND INFUSION CENTER
Entity Type:Organization
Organization Name:COMPREHENSIVE PAIN AND INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMERS-DEHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-520-9776
Mailing Address - Street 1:8353 S SAGEBRUSH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-0472
Mailing Address - Country:US
Mailing Address - Phone:702-275-5615
Mailing Address - Fax:
Practice Address - Street 1:600 E FRANCIS ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6796
Practice Address - Country:US
Practice Address - Phone:308-520-9776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty