Organization
CROSSETT HEALTH FOUNDATION
Active
Parent organization
CROSSETT HEALTH FOUNDATION
Other names
ASHLEY COUNTY ANESTHESIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSETT HEALTH FOUNDATION
Authorized official
RUSS SWORD (CFO)
(870) 364-1280
Entity
Organization
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1280
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C503
BLUE CROSS OF AR
AR
Enumeration date
04/20/2006
Last updated
03/17/2008
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