Ultra Classic Anesthesia Pa

LBN: Ultra Classic Anesthesia Pa
Ultra Classic Anesthesia Pa is an health care organization with primary practice located at 1701 E 23Rd Ave , Hutchinson KS 67502-1105. 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. Ultra Classic Anesthesia Pa can be contacted via phone (620) 664-6761, or through Fryett, Roger via phone (620) 664-6761.

Contact Information

Primary practice address
1701 E 23Rd Ave Hutchinson KS 67502-1105
Phone: (620) 664-6761
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fryett, Roger
Phone: (620) 664-6761

Health care specialties

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

Profile Details

NPI number 1982670337
LBN Legal business name Ultra Classic Anesthesia Pa
DBA Doing business as
Authorized official Fryett, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1982670337 NPPES
Other DC3545 RAILROAD MEDICARE

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