Organization
RIVER CITIES ANESTHESIA PLLC
Active
Organization
RIVER CITIES ANESTHESIA PLLC
Active
Other names
RIVER CITIES ANESTHESIA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EICHENHOLZ M.D. (PRESIDENT)
(214) 687-0001
Entity
Organization
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702
(304) 526-1031
Mailing address
PO BOX 610041, DALLAS, TX 75261-0041
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000742300
—
WV
01
—
1710227
BLUE CROSS WV PROVIDER #
WV
01
—
1721135
OH BLUE CROSS PROVIDER #
OH
Enumeration date
11/09/2006
Last updated
05/25/2021
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