Organization
PAIN CARE CENTER LLC
Active
Parent organization
PAIN CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN CARE CENTER LLC
Authorized official
RANDAL CHET RUGER (MANAGING PARTNER)
(307) 267-2116
Entity
Organization
Contact information
Practice address
945 W BROADWAY AVE APT 202, JACKSON, WY 83001-8217
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132443800
—
WY
Enumeration date
12/03/2020
Last updated
12/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us