Pain Management Center Of Southern Indiana

LBN: Pain Management Center Of Southern Indiana
Pain Management Center Of Southern Indiana is an health care organization with primary practice located at 3654 S 4Th St , Terre Haute IN 47802-5543. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Pain Management Center Of Southern Indiana can be contacted via phone (812) 232-7246, or through Tiwari, Kamal K. via phone (812) 232-7246.

Contact Information

Primary practice address
3654 S 4Th St Terre Haute IN 47802-5543
Phone: (812) 232-7246
Fax: (812) 232-7202
Website:
Map and Directions
Authorized official contact:
Name: Tiwari, Kamal K.
Phone: (812) 232-7246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X Indiana

Profile Details

NPI number 1467696500
LBN Legal business name Pain Management Center Of Southern Indiana
DBA Doing business as
Authorized official Tiwari, Kamal K.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2009
Last updated Jun 15th, 2009 - about 15 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 1467696500 NPPES
Indiana MEDICAID 100389270

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