Edmiston Anesthesia Services Pc

LBN: Edmiston Anesthesia Services Pc
Edmiston Anesthesia Services Pc is an health care organization with primary practice located at 575 Rivergate , Durango CO 81301-7487. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Edmiston Anesthesia Services Pc can be contacted via phone (970) 247-3537, or through Edmiston, Mark S via phone (970) 259-2525.

Contact Information

Primary practice address
575 Rivergate Durango CO 81301-7487
Phone: (970) 247-3537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edmiston, Mark S
Phone: (970) 259-2525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1710037130
LBN Legal business name Edmiston Anesthesia Services Pc
DBA Doing business as
Authorized official Edmiston, Mark S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated May 1st, 2008 - about 17 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 1710037130 NPPES
Arizona MEDICAID 790403
Arizona MEDICAID X9058
Arizona MEDICAID 37536079

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