Organization
JASPER ANESTHESIA CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE JAY CRUMPTON (CLIENT MANAGER)
(334) 396-6930
Entity
Organization
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4000
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5370
MCTR GROUP #
AL
01
—
F859
BCBS CLINIC ID
AL
01
—
J913
MEDICARE GROUP #
AL
Enumeration date
03/29/2006
Last updated
08/22/2020
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