CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC – NPI #1508909680
Clinic/Center

CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1508909680 to CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC on February 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC” is a dba name, the actual legal business name for this organization is PHYSICIAN GROUPS LC. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 18 years ago on Apr 02, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC below.

NPI Profile for
PHYSICIAN GROUPS LC

NPI Number
1508909680
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIAN GROUPS LC
Doing Business As (dba): CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC
Primary location
11155 DUNN RD
SUITE 109N
SAINT LOUIS, MO 63136-6150
Phone: (314) 653-5450 Fax:
Mailing address
670 MASON RIDGE CENTER DR
SUITE 300
SAINT LOUIS, MO 63141-8573
Phone: (314) 996-7644 Fax: (314) 996-7658
Organization Subpart
No
Authorized Official
RAYMOND DAVIDSON
PRESIDENT
Phone: (314) 286-2028
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.