Jerold Benjamin Campbell in Hot Springs - Nurse Anesthetist, Certified Registered

Jerold Benjamin Campbell - NPI 1417943697

Jerold Benjamin Campbell is a Nurse Anesthetist, Certified Registered in Hot Springs, Arkansas. Jerold Benjamin Campbell practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jerold Benjamin Campbell is 1417943697. The last update date is 2010-06-10.

Jerold Benjamin Campbell's current location address is Po Box 20343, Hot Springs, Arkansas. You can contact this provider via phone number 5015205204 and fax number 5015205185. The mailing address for Jerold Benjamin Campbell is Po Box 20343, Hot Springs, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerold Benjamin Campbell
Address Po Box 20343, Hot Springs, Arkansas
Phone Number 5015205204
Fax Number 5015205185
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1417943697
Provider Enumeration Date 2005-09-23
Last Updated Date 2010-06-10

Provider Mailing Address Detail

Address Po Box 20343
City Hot Springs
State Arkansas (AR)
Post Code 719030343
Phone Number 5015205204
Fax Number 5015205185

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No C00491
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
113755001 AR --
430080341 RR MEDICARE GROUP CK6327
59312 AR AR BCBS

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FAQs about Jerold Benjamin Campbell

What is the Jerold Benjamin Campbell's unique identification number?

The Jerold Benjamin Campbell has been assigned the NPI (National Provider Identifier) Number 1417943697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jerold Benjamin Campbell's facilities are geographically located?

The facilities of Jerold Benjamin Campbell are physically situated at the following location: Po Box 20343, Hot Springs, AR, 719030343.

What is the area of specialization for Jerold Benjamin Campbell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jerold Benjamin Campbell is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

On what date was the 1417943697 assigned to Jerold Benjamin Campbell?

The Jerold Benjamin Campbell was issued its 1417943697 on 2005-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jerold Benjamin Campbell most recently updated or revised?

The details related to Jerold Benjamin Campbell, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-10.

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