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DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA NPI 1083679427


NPI Information

NPI: 1083679427
Provider Name: DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D0857828

Address:
170 AMENDMENT AVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-7607
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DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA is a specialist in Rock Hill, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA NPI is 1083679427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

170 AMENDMENT AVE
ROCK HILL, SC
ZIP 29732-073
Phone: (803) 324-7607
Fax: (803) 324-1449

The provider's authorized official is Stephen J Bott .
The authorized official title is Partner and has the following contact phone number (803) 324-7607.

The CLIA number assigned to this NPI record is 42D0857828 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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
1PCO664MEDICAIDSOUTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.