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CENTER FOR DIGESTIVE CARE LLC NPI 1164528527


NPI Information

NPI: 1164528527
Provider Name: CENTER FOR DIGESTIVE CARE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5300 ELLIOTT DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 434-6262
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CENTER FOR DIGESTIVE CARE LLC is an ambulatory surgical clinic center in Ypsilanti, MI. CENTER FOR DIGESTIVE CARE LLC NPI is 1164528527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5300 ELLIOTT DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 434-6262

The provider's authorized official is Lana Cooper .
The authorized official title is Administrator and has the following contact phone number (734) 528-1405.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 8/25/2015.


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
1367H00000XAnesthesiologist Assistant4704111201MICHIGANNo
2367H00000XAnesthesiologist Assistant4704204265MICHIGANNo
3367H00000XAnesthesiologist Assistant4704118315MICHIGANNo
4261QA1903XClinic/CenterAmbulatory Surgical81-6818MICHIGANYes

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
123C0001056OTHERMICHIGANMEDICARE SUPPLIER #
2P01162164OTHERMICHIGANMEDICARE RAILROAD
3B0109OTHERMICHIGANBCN
440378OTHERMICHIGANBCBS FACILITY NUMBER
5P00224287MEDICARE PINMICHIGAN
6OP11690MEDICARE PINMICHIGAN
7B0109OTHERMICHIGANBCN NUMBER

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: 5/5/2024
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