YORK COUNTY ENDOSCOPY CENTER LLC NPI 1003058744

NPI Information

NPI: 1003058744
Provider Name: YORK COUNTY ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
164 GLENWOOD DRIVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 325-9010
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YORK COUNTY ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Rock Hill, SC. YORK COUNTY ENDOSCOPY CENTER LLC NPI is 1003058744. The provider is registered as an organization entity type.

The provider's business location address is:

164 GLENWOOD DRIVE
ROCK HILL, SC
ZIP 29732-865
Phone: (803) 325-9010
Fax: (803) 325-9015

The provider's authorized official is Stephen Bott .
The authorized official title is Medical Director and has the following contact phone number (803) 325-9010.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 3/7/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	ASF-0113	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ASF0113	OTHER	SOUTH CAROLINA	SC DHEC
2	Q351120001	OTHER		MEDICARE PTAN
3	42C0001 080	OTHER	SOUTH CAROLINA	CCN
4	42D1098380	OTHER		MEDICARE CLIA WAIVER
5	75-12730	OTHER	SOUTH CAROLINA	SC DHEC

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: 4/28/2024

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