Organization
NURSE ANESTHETIST SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COBY HARTMAN DO (OWNER)
(724) 836-0190
Entity
Organization
Contact information
Practice address
516 PELLIS RD, GREENSBURG, PA 15601-4592
(724) 836-1177
(724) 836-4700
Mailing address
1040 TOWNE SQUARE DR, GREENSBURG, PA 15601-5787
(724) 836-0190
(724) 837-4350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100754110
—
PA
01
—
615438
HIGHMARK GROUP NUMBER
PA
01
—
P033978
CHAMPUS
PA
Enumeration date
04/12/2007
Last updated
06/09/2023
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