# MOMENTA PAIN CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOMENTA PAIN BILLING, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417474602
- **Authorized official:** MRS. SHELLY ROSS (BILLING MANAGER)
- **Authorized official phone:** (531) 283-5138

## Contact information

- **Practice address:** 1805 N 145TH ST, OMAHA, NE 68154
- **Practice address phone:** (402) 991-6559
- **Practice address fax:** (402) 991-3552
- **Mailing address:** 1805 N 145TH ST, OMAHA, NE 68154-1179
- **Mailing address phone:** (402) 991-6559
- **Mailing address fax:** (402) 991-3552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 12/04/2023