OrganizationActive
Pain Care Center LLC
NPI 1891390118 · Pain Medicine (Anesthesiology) Physician · Jackson, WY
Provider details
- NPI number
- 1891390118
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pain Care Center LLC
- Organization subpart
- Yes
- Authorized official
- Randal Ruger, Managing Partner(307) 267-2116
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
945 W Broadway Ave Apt 202
Jackson, WY 83001-8217
Phone: (307) 212-6270
Fax: (307) 212-6271
Approximate (ZIP-level) locationGet directions
Mailing address
2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Registry dates
- Enumerated
- 2020-12-03
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.