Provider Demographics
NPI:1104306919
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:MD
Authorized Official - Phone:720-365-4760
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71657-0510
Mailing Address - Country:US
Mailing Address - Phone:870-224-4545
Mailing Address - Fax:
Practice Address - Street 1:201 N SLEMONS ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4326
Practice Address - Country:US
Practice Address - Phone:870-224-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty