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ESSENCE PREMIER HEALTH LLC NPI 1689114761


NPI Information

NPI: 1689114761
Provider Name: ESSENCE PREMIER HEALTH, LLC

Doing Business As: BLUE RIDGE CHRONIC PAIN CENTER

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 49D2130255

Address:
16830 FOREST RD
FOREST, VA
ZIP 24551
Phone: (434) 515-2775
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ESSENCE PREMIER HEALTH, LLC is a pain medicine anesthesiology in Forest, VA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. ESSENCE PREMIER HEALTH, LLC NPI is 1689114761. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Ridge Chronic Pain Center.

The provider's business location address is:

16830 FOREST RD
FOREST, VA
ZIP 24551-059
Phone: (434) 515-2775

The provider's authorized official is Rick Don Lee .
The authorized official title is Owner and has the following contact phone number (434) 942-8417.

The CLIA number assigned to this NPI record is 49D2130255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2017 and was last updated on 1/30/2019.


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
1207LP2900XAnesthesiologyPain Medicine0101230590VIRGINIAYes

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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