Powder River Pain Clinic

LBN: A Wyoming Pain Clinic P C
Powder River Pain Clinic is an health care organization with primary practice located at 3100 W Lakeway Rd Suite 3, Gillette WY 82718-6372. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. A Wyoming Pain Clinic P C can be contacted via phone (307) 696-1475, or through Mansell, John L. via phone (307) 696-2996.

Contact Information

Primary practice address
3100 W Lakeway Rd Suite 3 Gillette WY 82718-6372
Phone: (307) 696-1475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mansell, John L. Doctor of Medicine (MD)
Phone: (307) 696-2996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7144A Wyoming
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 7144A Wyoming
Ambulatory Health Care Facilities / Pain 261QP3300X 7144A Wyoming

Profile Details

NPI number 1164804480
LBN Legal business name A Wyoming Pain Clinic P C
DBA Doing business as Powder River Pain Clinic
Authorized official Mansell, John L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2015
Last updated Jan 23rd, 2024 - about last year

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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