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Contact Information

PAIN MANAGEMENT CENTER
600 18TH ST
PARKERSBURG, WV26101-3231
 Phone: 304-422-4040
 Fax: 304-424-4022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT CENTER

NPI # 1124087549
LBN Legal business name PAIN MANAGEMENT CENTER
Authorized official JEFFREY MATHENY - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2006
Last updated 11/06/2007 - About 19 years ago
Identifiers
OH Medicaid 0830220
WV Medicaid 0007055000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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