Organization
NOVAMED PAIN MANAGEMENT CENTER OF NEW ALBANY, LLC
Active
Parent organization
NOVAMED, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVAMED, INC.
Authorized official
SCOTT T. MACOMBER (EVP OF THE MANAGER)
(312) 664-4100
Entity
Organization
Contact information
Practice address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
(812) 949-3441
Mailing address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
(812) 949-3441
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04-003733-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503680A
—
IN
01
—
P00237375
RR MEDICARE
—
Enumeration date
07/14/2005
Last updated
02/21/2014
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