MEDICARE: RC ANESTHESIA SERVICES 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
2	284300000X	Special Hospital

General Provider Information

NPI Number	:	1538823141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RC ANESTHESIA SERVICES LLC

Provider Business Mailing Address
First Line	:	1410 AUSTIN HILL RD
Second Line	:
City	:	SHEFFIELD
State	:	PA
Zip	:	16347-2430
Country	:	US
Telephone Number	:	814-730-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 TIMBERVIEW LN
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-4150
Country	:	US
Telephone Number	:	814-757-5819
Fax Number	:	847-575-5829

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBIN LEE COPLEY
Credential	:	CRNA
Telephone Number	:	814-730-5588

Provider Enumeration Date	:	10/29/2021
Last Update Date	:	01/13/2022

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Directions to “RC ANESTHESIA SERVICES LLC ” Practice Location

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