Tierra Alta Anesthesia

LBN: Tierra Alta Anesthesia
Tierra Alta Anesthesia is an health care organization with primary practice located at 1010 Spruce St , Espanola NM 87532-3456. 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. Tierra Alta Anesthesia can be contacted via phone (573) 686-5550, or through Holtz, Peter via phone (573) 686-5550.

Contact Information

Primary practice address
1010 Spruce St Espanola NM 87532-3456
Phone: (573) 686-5550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holtz, Peter Certified Registered Nurse Anesthetist (CRNA)
Phone: (573) 686-5550

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X New Mexico

Profile Details

NPI number 1558361089
LBN Legal business name Tierra Alta Anesthesia
DBA Doing business as
Authorized official Holtz, Peter Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558361089 NPPES
New Mexico Other NM006869 BCBSNM GROUP

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