Smokey Mountain Anesthesia Pc
LBN: Smokey Mountain Anesthesia Pc
Smokey Mountain Anesthesia Pc is an health care organization with primary practice located at 110 Med Tech Pkwy , Johnson City TN 37604-4004. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty.
Smokey Mountain Anesthesia Pc can be contacted via phone (423) 722-0371, or through Root, James via phone (423) 967-3436.
Contact Information
Primary practice address
110 Med Tech Pkwy
Johnson City TN 37604-4004
Phone: (423) 722-0371
Fax:
Website:
Authorized official contact:
Name: Root, James Certified Registered Nurse Anesthetist (CRNA)
Phone: (423) 967-3436
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1538196829 |
|---|---|
| LBN Legal business name | Smokey Mountain Anesthesia Pc |
| DBA Doing business as | |
| Authorized official | Root, James Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jan 11th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538196829 | NPPES |
| Tennessee | MEDICAID | 3723481 |
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