Organization
MID-SOUTH ANESTHESIA SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JUMP CRNA (SECRETARY)
(256) 566-8401
Entity
Organization
Contact information
Practice address
42024 HIGHWAY 195, HALEYVILLE, AL 35565-7054
(205) 486-5213
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135617
—
AL
Enumeration date
01/05/2007
Last updated
04/09/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up