St. Joseph Valley Anesthesia P.C.

LBN: St. Joseph Valley Anesthesia P.C.
St. Joseph Valley Anesthesia P.C. is an health care organization with primary practice located at 5215 Holy Cross Parkway , Mishawaka IN 46545-1469. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. St. Joseph Valley Anesthesia P.C. can be contacted via phone (574) 335-5000, or through Beasley, Darryl via phone (574) 233-3123.

Contact Information

Primary practice address
5215 Holy Cross Parkway Mishawaka IN 46545-1469
Phone: (574) 335-5000
Fax: (574) 233-3125
Website:
Map and Directions
Authorized official contact:
Name: Beasley, Darryl Doctor of Medicine (MD)
Phone: (574) 233-3123

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1790738854
LBN Legal business name St. Joseph Valley Anesthesia P.C.
DBA Doing business as
Authorized official Beasley, Darryl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Feb 2nd, 2010 - about 15 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 1790738854 NPPES
Indiana MEDICAID 200055220A

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