MEDICARE: HILL ANESTHESIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1164493680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL ANESTHESIA LLC

Provider Business Mailing Address
First Line	:	72195 CROSSCREEK RD
Second Line	:
City	:	CAMBRIDGE
State	:	NE
Zip	:	69022-3645
Country	:	US
Telephone Number	:	308-697-4984
Fax Number	:	308-697-4984

Provider Business Practice Location Address
First Line	:	1301 EAST H STREET
Second Line	:
City	:	MCCOOK
State	:	NE
Zip	:	69001-1328
Country	:	US
Telephone Number	:	308-345-2650
Fax Number	:	308-345-8358

Authorized Official
Title or Position	:	OWNER
Name	:	CONSTANCE JEAN HILL
Credential	:	CRNA
Telephone Number	:	308-697-4984

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	08/22/2020

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Directions to “HILL ANESTHESIA LLC ” Practice Location

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