Organization
MOSES TAYLOR HOSPITAL
Active
Other names
MTH ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRITTAIN (CFO)
(570) 340-2991
Entity
Organization
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 340-2977
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
—
001626781
BLUE CROSS OF PA
PA
01
—
119482401
US DEPT LABOR COAL MINERS
PA
01
—
2578705
AETNA
PA
01
—
DB5577
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
04/22/2008
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