Provider Demographics
NPI:1497278949
Name:GARRETT S HILT CERTIFIED REGISTERED NURSING ANESTHESIA INC
Entity Type:Organization
Organization Name:GARRETT S HILT CERTIFIED REGISTERED NURSING ANESTHESIA INC
Other - Org Name:PACIFIC ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:775-747-5050
Mailing Address - Street 1:13215 MILAN DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-7664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2120 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3709
Practice Address - Country:US
Practice Address - Phone:661-698-0620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty