Healthcare Provider Details

I. General information

NPI: 1124089594
Provider Name (Legal Business Name): ALABAMA ANESTHESIA OF HUNTSVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR SW
HUNTSVILLE AL
35801-6455
US

IV. Provider business mailing address

PO BOX 5538
FRESNO CA
93755-5538
US

V. Phone/Fax

Practice location:
  • Phone: 256-880-4187
  • Fax: 256-880-4797
Mailing address:
  • Phone: 800-439-1018
  • Fax: 559-354-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: DR. WILLIAM H HASS
Title or Position: PARTNER
Credential: M.D.
Phone: 256-880-4187