Southeastern Pain Managment

LBN: Coastal States Managemen
Southeastern Pain Managment is an health care organization with primary practice located at 1026 Goodyear Ave Bldg 400, Ste 302, Gadsden AL 35903-1102. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastal States Managemen can be contacted via phone (256) 492-7246, or through Jacobs, Mary Katherine via phone (256) 492-7246.

Contact Information

Primary practice address
1026 Goodyear Ave Bldg 400, Ste 302 Gadsden AL 35903-1102
Fax: (256) 492-1168
Website:
Authorized official contact:
Name: Jacobs, Mary Katherine

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1294 Alabama

Profile Details

NPI number 1265440630
LBN Legal business name Coastal States Managemen
DBA Doing business as Southeastern Pain Managment
Authorized official Jacobs, Mary Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 22nd, 2020 - 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 1265440630 NPPES
Other 05152215RAY BLUE CROSS BLUE SHIELD

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