Southcrest Anesthesia Services, Pllc
LBN: Southcrest Anesthesia Services, Pllc
Southcrest Anesthesia Services, Pllc is an health care organization with primary practice located at 7580 Clarington Cv , Southaven MS 38671-5657. 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.
Southcrest Anesthesia Services, Pllc can be contacted via phone (662) 349-9136, or through Ryan, Robert Lawrence via phone (662) 349-9136.
Contact Information
Primary practice address
7580 Clarington Cv
Southaven MS 38671-5657
Phone: (662) 349-9136
Fax: (662) 349-0677
Website:
Authorized official contact:
Name: Ryan, Robert Lawrence Certified Registered Nurse Anesthetist (CRNA)
Phone: (662) 349-9136
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R691259 | Mississippi |
Profile Details
| NPI number | 1942302617 |
|---|---|
| LBN Legal business name | Southcrest Anesthesia Services, Pllc |
| DBA Doing business as | |
| Authorized official | Ryan, Robert Lawrence Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Apr 20th, 2008 - about 18 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 | 1942302617 | NPPES |
| Mississippi | MEDICAID | 09015237 |
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