Pmr Clinic
LBN: Punnamma Memorial Rehab Clinic
Pmr Clinic is an health care organization with primary practice located at 1504 Grand Central Ave , Vienna WV 26105-1058. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Punnamma Memorial Rehab Clinic can be contacted via phone (304) 485-7500, or through Kalapala, Sandya Rani via phone (304) 485-7500.
Contact Information
Primary practice address
1504 Grand Central Ave
Vienna WV 26105-1058
Phone: (304) 485-7500
Fax: (304) 485-6777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20619 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21321 | West Virginia |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 17059 | West Virginia |
Profile Details
| NPI number | 1861549941 |
|---|---|
| LBN Legal business name | Punnamma Memorial Rehab Clinic |
| DBA Doing business as | Pmr Clinic |
| Authorized official | Kalapala, Sandya Rani |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Feb 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861549941 | NPPES |
| West Virginia | MEDICAID | 0078260000 | |
| West Virginia | MEDICAID | 0203567000 |
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