DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THREE RIVERS ANESTHESIA SERVICE PA

MEDICARE: THREE RIVERS ANESTHESIA SERVICE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP175020FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3G3065OTHERFLBCBS

General Provider Information

NPI Number : 1366451783
Entity Type Code : Organization
Provider Name (Legal Business Name) : THREE RIVERS ANESTHESIA SERVICE PA
Provider Business Mailing Address
First Line : PO BOX 3123
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32085-3123
Country : US
Telephone Number : 904-824-4990
Fax Number : 904-824-2226
Provider Business Practice Location Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 904-824-4990
Fax Number : 904-824-2226
Authorized Official
Title or Position : OWNER
Name : JAMES H MCNAIR
Credential : CRNA
Telephone Number : 904-824-4990
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/28/2009

Similar Medicare Providers

1194713727 — MS. PAMELA NICHOLS ROBINSON CRNA
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-487-3930
Practice Fax:
1912972589 — MR. MINESH ARUN PATEL MD
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-754-3627
Practice Fax: 386-754-3657
1962431387 — ROBERT E FOX PA-C
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-287-0410
Practice Fax: 386-287-0411
1578570727 — GUY S STRAUSS D.O.
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-719-2540
Practice Fax: 386-752-9073
1679620710 — NORTH FLORIDA REHABILITATION, INC.
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-758-2238
Practice Fax: 386-758-2071
1497955611 — DR. RICHARD GERMAN VALENZUELA M.D.
Practice Location Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
32055-4833
Practice Phone: 386-755-4007
Practice Fax: 386-755-7098

Directions to “THREE RIVERS ANESTHESIA SERVICE PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.