# MIDWEST CENTER FOR PAIN MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942591722
- **Authorized official:** BRAD HAMBLEN (OWNER/ MEMBER)
- **Authorized official phone:** (859) 746-2444

## Contact information

- **Practice address:** 693 WAGNER AVE, SUITE C, GREENVILLE, OH 45331-2636
- **Practice address phone:** (859) 746-2444
- **Practice address fax:** (859) 746-9666
- **Mailing address:** 7986 TANNERS GATE LN, FLORENCE, KY 41042-1863
- **Mailing address phone:** (859) 746-2444
- **Mailing address fax:** (859) 746-9666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 07/21/2011