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Contact Information

FOUR RIVERS ANESTHESIA
1111 E 6TH ST
WASHINGTON, MO63090-3308
 Phone: 636-239-1766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FOUR RIVERS ANESTHESIA

NPI # 1487980397
LBN Legal business name FOUR RIVERS ANESTHESIA
Authorized official PETER WIENKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2009
Last updated 10/28/2009 - About 17 years ago
Identifiers
MO License # R8N11
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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