Painstop Spine Clinic, Llc
LBN: 828 Walk In Clinic
Painstop Spine Clinic, Llc is an health care organization with primary practice located at 12207 Hwy 49 Suite 40, Gulfport MS 39503. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
828 Walk In Clinic can be contacted via phone (228) 832-8872, or through Tsang, Stacey M via phone (228) 273-4096.
Contact Information
Primary practice address
12207 Hwy 49 Suite 40
Gulfport MS 39503
Phone: (228) 832-8872
Fax: (866) 809-7246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 14282 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R791344 | Mississippi |
Profile Details
| NPI number | 1255608816 |
|---|---|
| LBN Legal business name | 828 Walk In Clinic |
| DBA Doing business as | Painstop Spine Clinic, Llc |
| Authorized official | Tsang, Stacey M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 28th, 2011 |
| Last updated | Nov 28th, 2011 - about 13 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 | 1255608816 | NPPES |
| Mississippi | MEDICAID | 00114733 | |
| Mississippi | MEDICAID | 04078379 |
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