LIBERTY PARK ANESTHESIA SERVICES, LLC


Address: 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242
Phone: 2059779876

LIBERTY PARK ANESTHESIA SERVICES, LLC (NPI# 1669980504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669980504
Entity Type Organization
Organization Name LIBERTY PARK ANESTHESIA SERVICES, LLC
Practice Address 1940 Stonegate Dr Ste 30
Vestavia Hls
AL 35242
Mailing Address 1940 Stonegate Dr Ste 30
Vestavia Hls
AL 35242-2540
Practice Telephone 2059779876
Practice Fax Number 2059779976
Mailing Telephone 2059779876
Mailing Fax Number 2059779976
Enumeration Date 2018-01-12
Last Update Date 2018-08-08
Authorized Official Name CHRISTOPHER B HARMON (OWNER)
Authorized Official Telephone 2059779876
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name CHRISTOPHER B HARMON MD PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered AL Physician Assistants & Advanced Practice Nursing Providers
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
AL Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
7300 Halcyon Summit Dr, Montgomery, AL 361173699 2059779876

Office Location

Street Address 1940 STONEGATE DR STE 30
City VESTAVIA HLS
State AL
Zip Code 35242

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City VESTAVIA HLS
Zip Code 35242

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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