Organization
PAIN REHAB PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGGORY FIXLEY (PRESIDENT)
(314) 832-7246
Entity
Organization
Contact information
Practice address
2339 WELDON PKWY, SAINT LOUIS, MO 63146-3207
(314) 832-7246
(314) 832-1430
Mailing address
2339 WELDON PKWY, SAINT LOUIS, MO 63146-3207
(314) 832-7246
(314) 832-1430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141100500
DEPT OF LABOR
—
01
—
151181
BLUE CROSS/BLUE SHIELD
MO
01
—
39466
GROUP HEALTH PLAN
MO
01
—
450099
HEALTHLINK
—
05
—
626185300
—
MO
01
—
8200174
UNITED HEALTHCARE OF THE
MO
Enumeration date
10/03/2006
Last updated
01/21/2014
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