BLACK RIVER ANESTHESIA PLC NPI 1124174271

NPI Information

  • NPI: 1124174271
  • Provider Name: BLACK RIVER ANESTHESIA, PLC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • Address: 2801 MEDICAL CENTER DR
    POCAHONTAS, AR
    ZIP 72455
  • Phone: (870) 972-8053

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NPI Details

BLACK RIVER ANESTHESIA, PLC is a nurse anesthetist certified registered in Pocahontas, AR. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. BLACK RIVER ANESTHESIA, PLC NPI is 1124174271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 MEDICAL CENTER DR
POCAHONTAS, AR
ZIP 72455-436
Phone: (870) 972-8053
Fax: (870) 972-8053

The provider's authorized official is Susan Lynn Wyatt .
The authorized official title is Office Manager and has the following contact phone number (870) 972-8053.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredC00474 CRNAARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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