Provider Demographics
NPI:1205694643
Name:MONROE COUNTY HOSPITAL ANESTHESIA SERVICES
Entity type:Organization
Organization Name:MONROE COUNTY HOSPITAL ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-743-7378
Mailing Address - Street 1:2016 SOUTH ALABAMA AVENUE
Mailing Address - Street 2:P.O. BOX 886
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-3044
Mailing Address - Country:US
Mailing Address - Phone:251-743-7378
Mailing Address - Fax:251-743-7445
Practice Address - Street 1:2016 SOUTH ALABAMA AVENUE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-3044
Practice Address - Country:US
Practice Address - Phone:251-743-7378
Practice Address - Fax:251-743-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty