3 Peaks Anesthesia, Inc
Organization Active NPI Certified Registered Nurse Anesthetist · Idaho Falls, ID
NPI 1962030627 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1962030627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- 3 PEAKS ANESTHESIA, INC
- Practice address
- 2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280 - Phone
- (208) 557-2767
- NPI assigned
- Mar 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Henry Michael Adams, CRNA
- Title
- Owner
- Phone
- (208) 569-5698
Practitioners 1
-
Henry M Adams, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200526000597 | ID | Part B Supplier - Clinic/Group Practice | 8325469513 |
Receives reassigned benefits from 1 practitioner Practice locations: Idaho Falls, ID |
National Provider Directory
Locations
3369 Merlin Dr
#A
Idaho Falls, ID 83404
Phone (208) 524-8351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280
Mailing address
3555 Potomac Way
Idaho Falls, ID 83404-4985
Phone (208) 525-2090
Other providers in Idaho Falls, ID
- 24-7 Professional Solutions
- 3G Medical LLC
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- A to Z Family Services
- A to Z Family Services
All providers in Idaho Falls, ID · Certified Registered Nurse Anesthetist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.