Basic Information
| Provider Information | |||||||||
| NPI: | 1326436122 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUMMINGBIRD ANESTHESIA INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1575 VALERIE WAY | ||||||||
| Address2: | |||||||||
| City: | RED BLUFF | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960804036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324210176 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2550 SISTER MARY COLUMBA DR | ||||||||
| Address2: | |||||||||
| City: | RED BLUFF | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960804327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324210176 | ||||||||
| FaxNumber: | 5302293703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2014 | ||||||||
| LastUpdateDate: | 01/09/2019 | ||||||||
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| AuthorizedOfficialLastName: | STIMAC | ||||||||
| AuthorizedOfficialFirstName: | BILLIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE ANESTHETIST | ||||||||
| AuthorizedOfficialTelephone: | 8324210176 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 95000149 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.