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Contact Information

BLUE CLOUD ANESTHESIA, LLC
12184 NATURAL BRIDGE RD # 90
BRIDGETON, MO63044-2017
 Phone: 314-391-4936
 Fax: 314-474-0191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BLUE CLOUD ANESTHESIA, LLC

NPI Number 1790562379
LBN Legal business name BLUE CLOUD ANESTHESIA, LLC
Authorized official DEVIN LARSEN - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/08/2023
Last updated 01/27/2025 - More than a year ago
Identifiers n/a
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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