Pain Gps Clinic, Llc
LBN: Pain Gps Clinic, Llc
Pain Gps Clinic, Llc is an health care organization with primary practice located at 1607 Oak St , Eugene OR 97401-4022. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty.
Pain Gps Clinic, Llc can be contacted via phone (541) 246-3400, or through Johnston, Jeremy Scott via phone (702) 339-8602.
Contact Information
Primary practice address
1607 Oak St
Eugene OR 97401-4022
Phone: (541) 246-3400
Fax: (541) 246-3421
Website:
Authorized official contact:
Name: Johnston, Jeremy Scott Physician's Assistant Certified (PA-C)
Phone: (702) 339-8602
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1114553229 |
|---|---|
| LBN Legal business name | Pain Gps Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Johnston, Jeremy Scott Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2020 |
| Last updated | Nov 3rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114553229 | NPPES |
| Oregon | MEDICAID | 1639647449 |
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