Provider Demographics
NPI:1033224720
Name:ANESTHESIA CARE PLUS
Entity Type:Organization
Organization Name:ANESTHESIA CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHESIA
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KLEINSASSER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN MA CRNA
Authorized Official - Phone:719-359-0963
Mailing Address - Street 1:175 E KINGS DEER PT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8742
Mailing Address - Country:US
Mailing Address - Phone:719-488-2747
Mailing Address - Fax:
Practice Address - Street 1:175 E KINGS DEER PT
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-8742
Practice Address - Country:US
Practice Address - Phone:719-488-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94286282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital