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Contact Information

CLAREMORE ANESTHESIA LLC
1202 N MUSKOGEE PL
CLAREMORE, OK74017-3058
 Phone: 918-392-4456
 Fax: 918-392-4485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CLAREMORE ANESTHESIA LLC

NPI # 1285810051
LBN Legal business name CLAREMORE ANESTHESIA LLC
Authorized official DEBBIE BREWER - (DIRECTOR OF PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2008
Last updated 09/05/2008 - About 18 years ago
Identifiers
OK Medicaid 200132960A
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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