MEDICARE: PAIN TREATMENT CENTERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center	1173	CO

General Provider Information

NPI Number	:	1215083886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN TREATMENT CENTERS, LLC

Provider Business Mailing Address
First Line	:	1625 MEDICAL CENTER PT STE 240
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8721
Country	:	US
Telephone Number	:	719-577-9063
Fax Number	:	716-577-9124

Provider Business Practice Location Address
First Line	:	1625 MEDICAL CENTER PT STE 240
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8721
Country	:	US
Telephone Number	:	719-577-9063
Fax Number	:	716-577-9124

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	JONI G HYRICK
Credential	:
Telephone Number	:	716-446-5928

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1114608221 — TAYLER GREEN NP
Practice Location Address:

1625 MEDICAL CENTER PT STE 240
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-960-0363
Practice Fax:

1295739720 — DR. DAVID DREWRY CRICHTON DDS
Practice Location Address:

1625 MEDICAL CENTER PT , STE 260
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-473-2650
Practice Fax: 719-473-2508

1336139336 — KATHRYN ANNE BLAIR APRN BC FNP
Practice Location Address:

1625 MEDICAL CENTER PT STE 190
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-955-6000
Practice Fax: 719-955-9595

1730145418 — KEVIN DAVID MEAKIN DO
Practice Location Address:

1625 MEDICAL CENTER PT STE 190
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-345-1047
Practice Fax: 877-647-0202

1154379337 — CAROL FERN HALLE NURSE PRACTITIONER
Practice Location Address:

1625 MEDICAL CENTER PT STE 190
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-955-6000
Practice Fax: 719-955-9595

1063432821 — KATHERINE HAYS MD
Practice Location Address:

1625 MEDICAL CENTER PT STE 240
COLORADO SPRINGS, CO
80907-8721

Practice Phone: 719-960-0363
Practice Fax: 719-413-4966

Directions to “PAIN TREATMENT CENTERS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.