INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP; NPI #1891793022

Contact Information

INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP

1175 58TH AVE
STE 202
GREELEY, CO 80634-4807

Phone: 970-495-0300
Fax: 970-224-9624
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management
Anesthesiology	207L00000X	79	Physician/Addiction Medicine
Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP

NPI # 1891793022

LBN Legal business name INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP

Authorized official JAN GILLESPIE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2005

Last updated 07/21/2022 - About 4 years ago

Identifiers

CO	Medicaid	04018909
WY	Medicaid	112073500
CO	Other	IM160808	ANTHEM BCBS

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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