Rocky Mountain State Anesthesia Providers
Anesthesiology in Greeley, CO. Organization (NPI-2).
NPI number1184257883
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1184257883
- Entity type
- Organization (NPI-2)
- Legal business name
- Rocky Mountain State Anesthesia Providers
- Organization subpart
- No
- Enumeration date
- Feb 20, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
5890 W 13th StGreeley, CO 80634-4821
Phone 970-810-0090
Mailing address
Po Box 1786Fort Collins, CO 80522-1786
Phone 855-654-5262
Authorized official
Mario Joseph Carmosino
President
3036671671
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- Robert Hagebak, MDNPI 1861421430
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All 22 Anesthesiology Physician providers in Greeley · All 4,423 providers in Greeley
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