ESSENTIAL HEALTHCARE LLC is a primary care nurse practitioner in Centre, AL. ESSENTIAL HEALTHCARE LLC NPI is 1720572407. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Lakeside Primary Care.
The provider's business location address is:
1260 CHESNUT BYPASS SUITE A CENTRE, AL ZIP 35960-834 Phone: (256) 266-1544 Fax: (256) 266-1531
The provider's authorized official is Aimee Kilgo . The authorized official title is President and has the following contact phone number (256) 266-1544.
The CLIA number assigned to this NPI record is 01D2152025 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/18/2018 and was last updated on 12/9/2022.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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
NPI Synchronization or Removal
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