Provider Demographics
NPI:1437536380
Name:NURSE ANESTHESIA SERVICES OF MERIDIAN LLC
Entity Type:Organization
Organization Name:NURSE ANESTHESIA SERVICES OF MERIDIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:III
Authorized Official - Credentials:CRNA
Authorized Official - Phone:601-513-0869
Mailing Address - Street 1:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39302-1070
Mailing Address - Country:US
Mailing Address - Phone:601-485-6325
Mailing Address - Fax:601-485-3061
Practice Address - Street 1:5002 HIGHWAY 39 N
Practice Address - Street 2:BUILDING D
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-1078
Practice Address - Country:US
Practice Address - Phone:601-696-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty