Organization
HEARTLAND ANESTHESIA CONSULTANTS PSC CRNA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SPALDING OFFICE MANAGER (OFFICE MANAGER)
(270) 737-4600
Entity
Organization
Contact information
Practice address
639 NORTH MULBERRY STREET, CRNA GROUP, ELIZABETHTOWN, KY 42701
(270) 737-4600
(270) 737-1722
Mailing address
639 NORTH MULBERRY STREET, CRNA GROUP, ELIZABETHTOWN, KY 42701
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA GROUP
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051345
ANTHEM
—
01
—
000000051346
ANTHEM
—
01
—
000000051347
ANTHEM
—
01
—
000000051352
ANTHEM
—
01
—
1063437
PASSPORT GROUP
—
01
—
1063444
PASSPORT
—
01
—
1063446
PASSPORT
—
01
—
1063448
PASSPORT
—
01
—
1063453
PASSPORT
—
01
—
1063454
PASSPORT
—
01
—
2434370000
PASSPORT ADVANTAGE GRP
—
01
—
2434372000
PASS ADV
—
01
—
2434373000
PASS ADV
—
01
—
2434374000
PASS ADV
—
01
—
2434376000
PASS ADV
—
01
—
2434377000
PASS ADV
—
05
—
74900242
—
KY
01
—
8861
ANTHEM
—
Enumeration date
02/13/2008
Last updated
02/13/2008
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