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Contact Information

JACKSON HOLE ANESTHESIA SERVICES
150 BUFFALO WAY
JACKSON, WY83002
 Phone: 307-733-8677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JACKSON HOLE ANESTHESIA SERVICES

NPI # 1942364567
LBN Legal business name JACKSON HOLE ANESTHESIA SERVICES
Authorized official PHILIP BLUM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 06/19/2008 - About 18 years 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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