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
Fax: (304) 485-6777
Website:
Authorized official contact:
Name: Kalapala, Sandya Rani

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861549941 NPPES
West Virginia MEDICAID 0078260000
West Virginia MEDICAID 0203567000

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