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Organization
MOMENTA PAIN CARE, LLC
Active
Organization
MOMENTA PAIN CARE, LLC
Active
Other names
MOMENTA PAIN BILLING, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY ROSS (BILLING MANAGER)
(531) 283-5138
Entity
Organization
Contact information
Practice address
1805 N 145TH ST, OMAHA, NE 68154
(402) 991-6559
(402) 991-3552
Mailing address
1805 N 145TH ST, OMAHA, NE 68154-1179
(402) 991-6559
(402) 991-3552
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
08/28/2017
Last updated
12/04/2023
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