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STRAND GASTROINTESTINAL ENDOSCOPY CENTER NPI 1073546875


NPI Information

NPI: 1073546875
Provider Name: STRAND GASTROINTESTINAL ENDOSCOPY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 42D0981715

Address:
7900 N KINGS HWY STE B
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 839-2581
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STRAND GASTROINTESTINAL ENDOSCOPY CENTER is an ambulatory surgical clinic center in Myrtle Beach, SC. STRAND GASTROINTESTINAL ENDOSCOPY CENTER NPI is 1073546875. The provider is registered as an organization entity type.

The provider's business location address is:

7900 N KINGS HWY STE B
MYRTLE BEACH, SC
ZIP 29572-055
Phone: (843) 839-2581
Fax: (843) 839-2585

The provider's authorized official is Delena Stout .
The authorized official title is Business Manager and has the following contact phone number (843) 492-2751.

The CLIA number assigned to this NPI record is 42D0981715 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/10/2020.


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 SurgicalASF062SOUTH 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
1ASC033MEDICAIDSOUTH 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: 11/14/2023

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