Southcoast Cardiac Anesthesia

LBN: Southcoast Cardiac Anesthesia
Southcoast Cardiac Anesthesia is an health care organization with primary practice located at 363 Highland Ave , Fall River MA 02720-3703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Southcoast Cardiac Anesthesia can be contacted via phone (508) 679-7558, or through Thiesen, Larry F via phone (508) 679-7558.

Contact Information

Primary practice address
363 Highland Ave Fall River MA 02720-3703
Phone: (508) 679-7558
Fax: (508) 679-7147
Website:
Map and Directions
Authorized official contact:
Name: Thiesen, Larry F Doctor of Medicine (MD)
Phone: (508) 679-7558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Massachusetts

Profile Details

NPI number 1083614440
LBN Legal business name Southcoast Cardiac Anesthesia
DBA Doing business as
Authorized official Thiesen, Larry F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 21st, 2022 - about 2 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 1083614440 NPPES
Massachusetts MEDICAID 9711741

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