Pain Care Surgery, Pc

LBN: Pain Care Surgery, Pc
Pain Care Surgery, Pc is an health care organization with primary practice located at 108 Airway Dr , Marion IL 62959-5841. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Pain Care Surgery, Pc can be contacted via phone (618) 997-7820, or through Manchikanti, Laxmaiah via phone (618) 997-7820.

Contact Information

Primary practice address
108 Airway Dr Marion IL 62959-5841
Phone: (618) 997-7820
Fax: (618) 997-6721
Website:
Map and Directions
Authorized official contact:
Name: Manchikanti, Laxmaiah Doctor of Medicine (MD)
Phone: (618) 997-7820

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7002900 Illinois

Profile Details

NPI number 1184690570
LBN Legal business name Pain Care Surgery, Pc
DBA Doing business as
Authorized official Manchikanti, Laxmaiah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184690570 NPPES
Illinois Other 100812 HEALTH ALLIANCE
Illinois Other BC#50386 HEALTH ALLIANCE

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