# JASPER ANESTHESIA CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053372227
- **Authorized official:** DEE JAY CRUMPTON (CLIENT MANAGER)
- **Authorized official phone:** (334) 396-6930

## Contact information

- **Practice address:** 3400 HIGHWAY 78 E, JASPER, AL 35501-8956
- **Practice address phone:** (205) 387-4000
- **Mailing address:** PO BOX 235022, MONTGOMERY, AL 36123-5022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DB5370 | MCTR GROUP \# | AL |
| 01 | — | F859 | BCBS CLINIC ID | AL |
| 01 | — | J913 | MEDICARE GROUP \# | AL |