Jerseyville Pain Management Center, S.C.

LBN: Jerseyville Pain Management Center, S.C.
Jerseyville Pain Management Center, S.C. is an health care organization with primary practice located at 1702 Vaughn Rd , Wood River IL 62095-1898. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Jerseyville Pain Management Center, S.C. can be contacted via phone (618) 259-3321, or through Chomhirun, Bud via phone (618) 259-3321.

Contact Information

Primary practice address
1702 Vaughn Rd Wood River IL 62095-1898
Phone: (618) 259-3321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chomhirun, Bud Doctor of Medicine (MD)
Phone: (618) 259-3321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1255609574
LBN Legal business name Jerseyville Pain Management Center, S.C.
DBA Doing business as
Authorized official Chomhirun, Bud Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2011
Last updated Jan 3rd, 2012 - about 12 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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