Hillside Pain Management Pc

LBN: Hillside Pain Management Pc
Hillside Pain Management Pc is an health care organization with primary practice located at 250 Fame Ave Suite 101, Hanover PA 17331-1587. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Hillside Pain Management Pc can be contacted via phone (717) 632-5478, or through Calder, Mary Beth via phone (717) 632-5478.

Contact Information

Primary practice address
250 Fame Ave Suite 101 Hanover PA 17331-1587
Phone: (717) 632-5478
Fax: (717) 633-0267
Website:
Map and Directions
Authorized official contact:
Name: Calder, Mary Beth
Phone: (717) 632-5478

Health care specialties

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

Profile Details

NPI number 1588628317
LBN Legal business name Hillside Pain Management Pc
DBA Doing business as
Authorized official Calder, Mary Beth
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 4th, 2013 - about 11 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 1588628317 NPPES
Pennsylvania MEDICAID 1013738150001

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