Provider Demographics
NPI:1699818187
Name:SOUTHERN COLORADO CRNA ASSOCIATES
Entity Type:Organization
Organization Name:SOUTHERN COLORADO CRNA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHATZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:720-320-8527
Mailing Address - Street 1:1522 STONEWALL AVE
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-2272
Mailing Address - Country:US
Mailing Address - Phone:720-320-8527
Mailing Address - Fax:719-846-7521
Practice Address - Street 1:1522 STONEWALL AVE
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2272
Practice Address - Country:US
Practice Address - Phone:720-320-8527
Practice Address - Fax:719-846-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR22458282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital