Old Pueblo Anesthesia

LBN: Old Pueblo Anesthesia
Old Pueblo Anesthesia is an health care organization with primary practice located at 2810 N Swan Rd Suite 100, Tucson AZ 85712-6305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Old Pueblo Anesthesia can be contacted via phone (520) 324-2030, or through Fresh, Kristy via phone (520) 324-2030.

Contact Information

Primary practice address
2810 N Swan Rd Suite 100 Tucson AZ 85712-6305
Phone: (520) 324-2030
Fax: (520) 445-6019
Website:
Map and Directions
Authorized official contact:
Name: Fresh, Kristy HCM, MBA, FACMPE, LS
Phone: (520) 324-2030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1194770768
LBN Legal business name Old Pueblo Anesthesia
DBA Doing business as
Authorized official Fresh, Kristy HCM, MBA, FACMPE, LS
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated May 15th, 2020 - about 5 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 1194770768 NPPES
Arizona MEDICAID 096736

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