Organization
GRAND FORKS ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BAZEY CRNA (OWNER)
(218) 779-9048
Entity
Organization
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 775-3151
Mailing address
3366 DESERT STAR LN, GRAND FORKS, ND 58201-5823
(701) 746-7441
(701) 746-7447
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22456
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010322500
—
MN
01
—
05522001
BCBS
ND
05
—
11925
—
ND
01
—
765D7GR
BCBS
MN
01
—
CJ6769
RR MEDICARE
—
Enumeration date
08/23/2006
Last updated
04/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us