# PAIN CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAIN CARE CENTER, LLC
- **Other names:** Pain Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376028225
- **Legal business name:** PAIN CARE CENTER, LLC
- **Authorized official:** CHET RUGER (PRACTICE MANAGER)
- **Authorized official phone:** (307) 212-6270

## Contact information

- **Practice address:** 5850 E 2ND ST UNIT 100, CASPER, WY 82609-4343
- **Practice address phone:** (307) 212-6270
- **Practice address fax:** (307) 212-6271
- **Mailing address:** 2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
- **Mailing address phone:** (130) 721-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2018
- **Last updated:** 07/26/2021
