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Contact Information

COOSA PAIN AND WELLNESS
3804 RAINBOW DR
RAINBOW CITY, AL35906-3051
 Phone: 256-952-2200
 Fax: 256-952-2202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for COOSA PAIN AND WELLNESS

NPI # 1093147951
LBN Legal business name COOSA PAIN AND WELLNESS
Authorized official THOMAS LACKEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2013
Last updated 06/22/2018 - About 8 years ago
Identifiers n/a
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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