Organization
CCS BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM ALLEN (CMD)
(716) 871-0181
Entity
Organization
Contact information
Practice address
810 DAVISON RD, LOCKPORT, NY 14094-5228
(716) 438-5486
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/29/2011
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