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Methodist Pain Management, LLC

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Company Details

Name: Methodist Pain Management, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Merged
Effective Date: 29 Apr 1997 (28 years ago)
Business ID: 641860
State of Incorporation: MISSISSIPPI
Historical names: PAIN MANAGEMENT CENTER, LLC

Member

Name Role Address
MISS METHODIST HOSPITAL & REHAB CENTER Member 1350 E WOODROW WILSON DR, JACKSON, MS 39216

Agent

Name Role Address
Voynik, Tammy M Agent Methodist Rehabilitation Center, 1350 E Woodrow Wilson, Jackson, MS 39216

National Provider Identifier

NPI Number:
1407098536

Authorized Person:

Name:
GARY ARMSTRONG
Role:
EXEC VP FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
721367775
Plan Year:
2010
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Merger Filed 2010-05-10 Merger
Amendment Form Filed 2008-09-12 Amendment
Name Reservation Form Filed 1997-04-29 Name Reservation

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Date of last update: 02 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website