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PIEDMONT ENDOSCOPY CENTER INC. NPI 1003858721


NPI Information

NPI: 1003858721
Provider Name: PIEDMONT ENDOSCOPY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1901 S HAWTHORNE RD
SUITE 308
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 760-4340
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PIEDMONT ENDOSCOPY CENTER, INC. is an ambulatory surgical clinic center in Winston-salem, NC. PIEDMONT ENDOSCOPY CENTER, INC. NPI is 1003858721. The provider is registered as an organization entity type.

The provider's business location address is:

1901 S HAWTHORNE RD
SUITE 308
WINSTON-SALEM, NC
ZIP 27103-921
Phone: (336) 760-4340
Fax: (336) 765-2869

The provider's authorized official is Michelle L Wallace .
The authorized official title is Assitant Administrator and has the following contact phone number (336) 714-3544.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalAS0044NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12380290MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
23409863MEDICAIDNORTH CAROLINA

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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