Jack Colt Blaine in Rancho Mirage - Nurse Anesthetist, Certified Registered
Jack Colt Blaine - NPI 1811999642
Jack Colt Blaine is a Nurse Anesthetist, Certified Registered in Rancho Mirage, California. Jack Colt Blaine practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jack Colt Blaine is 1811999642. The last update date is 2022-01-19.
Jack Colt Blaine's current location address is 36720 Palm Ct, Rancho Mirage, California. You can contact this provider via phone number 6199942941. The mailing address for Jack Colt Blaine is 36720 Palm Ct, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Colt Blaine |
|---|---|
| Address | 36720 Palm Ct, Rancho Mirage, California |
| Phone Number | 6199942941 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1811999642 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
| Address | 36720 Palm Ct |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922702206 |
| Phone Number | 6199942941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | CRNA0061 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Jack Colt Blaine by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Colt Blaine has been assigned the NPI (National Provider Identifier) 1811999642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jack Colt Blaine's facilities are geographically located?
The facilities of Jack Colt Blaine are physically situated at the following location: 36720 Palm Ct, Rancho Mirage, CA, 922702206.
What is Jack Colt Blaine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Colt Blaine is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
On what date was the 1811999642 assigned to Jack Colt Blaine?
The Jack Colt Blaine was issued its 1811999642 on 2005-08-11, 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 Jack Colt Blaine most recently updated or revised?
The details related to Jack Colt Blaine, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-19.