Organization · Type 2 NPI

Sisters of Charity Providence Hospitals

Certified Registered Nurse Anesthetist · Columbia, SC

NPI number 1194796607 Active

Practice location

2435 Forest Drive
Columbia, SC 29204

Call (803) 454-2613 Map

Fax (803) 765-1732

Mailing address

PO Box 1467
Columbia, SC 29202

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	None listed

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

15 other providers at this address

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NPI record

NPI: 1194796607
Entity type: Organization (Type 2)
Issued: Feb 1, 2006
Last updated: May 27, 2015
Status: Active
Subpart: Yes of Sisters of Charity Hospital

Other names

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Providence Hospital Crnas · doing business as

Authorized official

Jho R. Outlaw
Executive Director
(803) 454-2600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194796607

Sisters of Charity Providence Hospitals's National Provider Identifier is 1194796607, issued on Feb 1, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Columbia, SC. The record was last updated on May 27, 2015.