Healthcare Provider Details

I. General information

NPI: 1326436122
Provider Name (Legal Business Name): HUMMINGBIRD ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2014
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4327
US

IV. Provider business mailing address

1575 VALERIE WAY
RED BLUFF CA
96080-4036
US

V. Phone/Fax

Practice location:
  • Phone: 832-421-0176
  • Fax: 530-229-3703
Mailing address:
  • Phone: 832-421-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95000149
License Number StateCA

VIII. Authorized Official

Name: BILLIE STIMAC
Title or Position: NURSE ANESTHETIST
Credential: CRNA
Phone: 832-421-0176