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FREDERICKSBURG ENDOSCOPY CENTER LLC NPI 1306486634


NPI Information

NPI: 1306486634
Provider Name: FREDERICKSBURG ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 49D2189308

Address:
1211 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 408-0800
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FREDERICKSBURG ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Fredericksburg, VA. FREDERICKSBURG ENDOSCOPY CENTER, LLC NPI is 1306486634. The provider is registered as an organization entity type.

The provider's business location address is:

1211 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401-912
Phone: (540) 408-0800
Fax: (540) 408-0810

The provider's authorized official is Sharon M Hohlfeld .
The authorized official title is Co-treasurer and has the following contact phone number (215) 589-9024.

The CLIA number assigned to this NPI record is 49D2189308 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2020 and was last updated on 6/7/2021.


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 SurgicalYes

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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