Provider Demographics
NPI:1285382010
Name:SALT CITY ANESTHESIA LLC
Entity type:Organization
Organization Name:SALT CITY ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNAP
Authorized Official - Phone:316-518-1726
Mailing Address - Street 1:14 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1800
Mailing Address - Country:US
Mailing Address - Phone:316-518-1726
Mailing Address - Fax:
Practice Address - Street 1:2100 N WALDRON ST STE 2
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1176
Practice Address - Country:US
Practice Address - Phone:620-833-0960
Practice Address - Fax:833-615-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty