Healthcare Provider Details

I. General information

NPI: 1164493680
Provider Name (Legal Business Name): HILL ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 EAST H STREET
MCCOOK NE
69001-1328
US

IV. Provider business mailing address

72195 CROSSCREEK RD
CAMBRIDGE NE
69022-3645
US

V. Phone/Fax

Practice location:
  • Phone: 308-345-2650
  • Fax: 308-345-8358
Mailing address:
  • Phone: 308-697-4984
  • Fax: 308-697-4984

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: CONSTANCE JEAN HILL
Title or Position: OWNER
Credential: CRNA
Phone: 308-697-4984