Brigham Anesthesia South Llc

LBN: Brigham Anesthesia South Llc
Brigham Anesthesia South Llc is an health care organization with primary practice located at 405 W Jackson St Memorial Hospital Of Carbondale, Carbondale IL 62901-1462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Brigham Anesthesia South Llc can be contacted via phone (618) 549-0721, or through Kenny, Gardner Thomas via phone (618) 457-5111.

Contact Information

Primary practice address
405 W Jackson St Memorial Hospital Of Carbondale Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 351-4849
Website:
Map and Directions
Authorized official contact:
Name: Kenny, Gardner Thomas Doctor of Medicine (MD)
Phone: (618) 457-5111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1699769232
LBN Legal business name Brigham Anesthesia South Llc
DBA Doing business as
Authorized official Kenny, Gardner Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 4th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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