Healthcare Provider Details

I. General information

NPI: 1477151983
Provider Name (Legal Business Name): PRECISION PAIN CARE ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 ELECTION HOUSE RD NW
LANCASTER OH
43130-9059
US

IV. Provider business mailing address

PO BOX 635970
CINCINNATI OH
45263-5970
US

V. Phone/Fax

Practice location:
  • Phone: 740-689-9500
  • Fax: 740-689-9555
Mailing address:
  • Phone: 859-291-4800
  • Fax: 859-655-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RONALD LINEHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 740-689-9500