Organization
ANESTHESIA HEALTH CARE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MARK EDWARDS (CFO)
(205) 930-7100
Entity
Organization
Contact information
Practice address
1201 11TH AVE S, ANESTHESIA DEPT., BIRMINGHAM, AL 35205-3423
(205) 930-7296
(205) 930-7256
Mailing address
PO BOX 55905, BIRMINGHAM, AL 35255-5905
(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
—
529928370
—
AL
01
—
DE7328
RAILROAD MEDICARE GROUP #
AL
Enumeration date
04/25/2006
Last updated
03/11/2010
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