Provider Demographics
NPI:1881482107
Name:COMPREHENSIVE PAIN CARE PA
Entity type:Organization
Organization Name:COMPREHENSIVE PAIN CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WORKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-224-4545
Mailing Address - Street 1:1222 OLD WARREN RD STE C
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-5041
Mailing Address - Country:US
Mailing Address - Phone:870-224-4545
Mailing Address - Fax:866-809-4272
Practice Address - Street 1:1222 OLD WARREN RD STE C
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-5041
Practice Address - Country:US
Practice Address - Phone:870-224-4545
Practice Address - Fax:866-809-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies