Provider Demographics
NPI:1063506426
Name:ALPINE ANESTHESIA LLC
Entity Type:Organization
Organization Name:ALPINE ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-936-9186
Mailing Address - Street 1:112 W SPENCER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2545
Mailing Address - Country:US
Mailing Address - Phone:970-641-6788
Mailing Address - Fax:970-641-0282
Practice Address - Street 1:112 W SPENCER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2545
Practice Address - Country:US
Practice Address - Phone:970-641-6788
Practice Address - Fax:970-641-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123456174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty