Provider Demographics
NPI:1770752362
Name:RLH ANESTHESIA SERVICE PC
Entity type:Organization
Organization Name:RLH ANESTHESIA SERVICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:HITT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:618-439-2800
Mailing Address - Street 1:PO BOX 1431
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812-5431
Mailing Address - Country:US
Mailing Address - Phone:618-439-2800
Mailing Address - Fax:618-439-2800
Practice Address - Street 1:86 SKIERS RUN
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812
Practice Address - Country:US
Practice Address - Phone:618-439-2800
Practice Address - Fax:618-439-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty