Advanced Pain Care Clinic Psc

LBN: Advanced Pain Care Clinic Psc
Advanced Pain Care Clinic Psc is an health care organization with primary practice located at 1813 Willow St Ste 3B , Vincennes IN 47591. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Advanced Pain Care Clinic Psc can be contacted via phone (812) 477-7246, or through Sanapati, Mahendra R via phone (812) 214-4072.

Contact Information

Primary practice address
1813 Willow St Ste 3B Vincennes IN 47591
Phone: (812) 477-7246
Fax: (812) 477-7240
Website:
Map and Directions
Authorized official contact:
Name: Sanapati, Mahendra R Doctor of Medicine (MD)
Phone: (812) 214-4072

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1730612698
LBN Legal business name Advanced Pain Care Clinic Psc
DBA Doing business as
Authorized official Sanapati, Mahendra R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2017
Last updated Aug 28th, 2018 - about 6 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 1730612698 NPPES
Indiana MEDICAID 200497580A

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