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THREE RIVERS ANESTHESIA SERVICE PA NPI 1366451783


NPI Information

NPI: 1366451783
Provider Name: THREE RIVERS ANESTHESIA SERVICE PA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
ZIP 32055
Phone: (904) 824-4990
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THREE RIVERS ANESTHESIA SERVICE PA is a nurse anesthetist certified registered in Lake City, FL. 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. THREE RIVERS ANESTHESIA SERVICE PA NPI is 1366451783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 NW HALL OF FAME DR
LAKE CITY, FL
ZIP 32055-833
Phone: (904) 824-4990
Fax: (904) 824-2226

The provider's authorized official is James H Mcnair .
The authorized official title is Owner and has the following contact phone number (904) 824-4990.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/28/2009.


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 RegisteredARNP175020FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BK484MEDICARE PINFLORIDA
2G3065OTHERFLORIDABCBS
3306328300MEDICAIDFLORIDA
4306328301MEDICAIDFLORIDA

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: 5/5/2024

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