Organization
GRESS ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA D GRESS CRNA (PRESIDENT)
(812) 482-9617
Entity
Organization
Contact information
Practice address
602 3RD AVE, JASPER, IN 47546-3601
(812) 482-9617
(812) 634-7152
Mailing address
602 3RD AVE, PO BOX 488, JASPER, IN 47546-3601
(812) 482-9617
(812) 634-7152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28080901
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982636536
CYNTHIA D GRESS PERSONAL PROVIDER NPI #
IN
01
—
200055770
DAVIESS COUNTY HOSPITAL MEDICAID #
IN
05
—
200318250A
—
IN
01
—
CB2060D
DAVIESS COUNTY HOSPITAL MEDICARE #
IN
01
—
P00116059
DAVIESS COUNTY HOSPITAL MEDICARE R/R #
IN
Enumeration date
11/01/2006
Last updated
07/08/2008
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