Greenbrier Valley Anesthesia Llc

LBN: Greenbrier Valley Anesthesia Llc
Greenbrier Valley Anesthesia Llc is an health care organization with primary practice located at 1320 Maplewood Ave , Ronceverte WV 24970-8016. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Greenbrier Valley Anesthesia Llc can be contacted via phone (304) 647-6549, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
1320 Maplewood Ave Ronceverte WV 24970-8016
Phone: (304) 647-6549
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1902849706
LBN Legal business name Greenbrier Valley Anesthesia Llc
DBA Doing business as
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902849706 NPPES
West Virginia Other 001711974 BCBS CRNA
West Virginia Other 001711970 BCBS CRNA
West Virginia MEDICAID 0106041001 BCBS CRNA

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