| Pain Management Center Of Southern Indiana, Inc. | |
|
2920 Mcintyre Dr Suite 150 Bloomington IN 47403-4221 | |
| (812) 333-7246 | |
| (812) 333-4471 |
| Full Name | Pain Management Center Of Southern Indiana, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2920 Mcintyre Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Kamal Kumar Tiwari (PRESIDENT) |
| Authorized Official Contact | 8123337246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Center Of Southern Indiana, Inc. Po Box 5635 Bloomington IN 47407-5635 Ph: (812) 337-5003 | Pain Management Center Of Southern Indiana, Inc. 2920 Mcintyre Dr Suite 150 Bloomington IN 47403-4221 Ph: (812) 333-7246 |
| NPI Number | 1629063797 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 06/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629063797 | NPI | - | NPPES |
| 100389270 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 50003765A (Indiana) | Primary |
Joie Devivre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 Piazza Drive, Bloomington, IN 47401 Phone: 812-334-2772 | |
Drb Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2620 North Walnut Street, Suite 400, Bloomington, IN 47404 Phone: 812-335-1824 Fax: 812-335-1825 | |
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Quest Integrative Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-1234 Fax: 812-330-1221 | |
Ilic Renal And Hypertension Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 E Devonshire Ct, Bloomington, IN 47408 Phone: 812-837-3223 | |
Healthspot Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3064 E 3rd St, Bloomington, IN 47401 Phone: 812-323-9800 | |
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