Center for Pain Care P A
NPI 1023024684ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Boise, ID
Physical Medicine & Rehabilitation, Pain Medicine in Boise, Idaho, registered in NPPES in August 2006. The authorized official on file is Clinton Mallari, MD, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023024684 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2006 |
| Last updated in NPPES | Jul 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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