Organization
SWEET DREAMS ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI STAHL CRNA (OWNER)
(701) 741-0545
Entity
Organization
Contact information
Practice address
1451 44TH AVE S, GRAND FORKS, ND 58201-3434
(701) 732-2222
Mailing address
6615 LAKE DR, GRAND FORKS, ND 58201-8321
(701) 746-7441
(701) 746-7447
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
R27377
ND
282NC0060X
Critical Access Hospital
R1577341
MN
282NR1301X
Rural Acute Care Hospital
R1577341
MN
283Q00000X
Psychiatric Hospital
R27377
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07392001
BCBS
ND
05
—
10775
—
ND
Enumeration date
06/17/2009
Last updated
08/18/2009
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