Healthcare Provider Details

I. General information

NPI: 1356260921
Provider Name (Legal Business Name): WEST ANESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HOSPITAL DR
WINDOM MN
56101-1287
US

IV. Provider business mailing address

809 VIKING DR
MARSHALL MN
56258-3400
US

V. Phone/Fax

Practice location:
  • Phone: 507-831-2400
  • Fax:
Mailing address:
  • Phone: 507-591-3276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRANDON JAMES WEST
Title or Position: NURSE ANESTHETIST
Credential: DNAP, CRNA, APRN
Phone: 507-591-3276