Certified Anesthesia Services, LTD.

Organization Active NPI Certified Registered Nurse Anesthetist · Payson, AZ

NPI 1588740971 · NPPES record last updated May 20, 2008

Key facts

NPI
1588740971
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RN059709 (AZ)
Legal business name
CERTIFIED ANESTHESIA SERVICES, LTD.
Practice address
807 S Ponderosa St
Payson, AZ 85541-5542
Phone
(928) 472-1367
NPI assigned
Oct 27, 2006
Organization subpart
No

Authorized official

Name
Mr. James C Grubbs, CRNA
Title
Vice-President
Phone
(928) 474-4923

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X RN059709 AZ Yes

Addresses

Primary practice location

807 S Ponderosa St
Payson, AZ 85541-5542

Mailing address

PO Box 2358
Payson, AZ 85547-2358
Phone (928) 472-2311

Other identifiers

IdentifierTypeStateIssuer
AZ5877OtherAZJCG HEALTHNET
1639255037OtherAZNPI
AZ0161970OtherAZPM BLUE CROSS BLUE SHIELD
AZ5785OtherAZWKM HEALTHNET
750423MedicaidAZ
AZ0163560OtherAZWM BLUE CROSS BLUE SHIELD
18042985OtherAZWORKER'S COMP.
AZ0480270OtherAZJG BLUE CROSS BLUE SHIELD
750431MedicaidAZ
750449MedicaidAZ
AZ5790OtherAZPM HEALTHNET

Other providers in Payson, AZ

All providers in Payson, AZ · Certified Registered Nurse Anesthetist in Arizona

Sources for this page

Verify at the official NPI Registry.