EAGLE PHYSICIANS AND ASSOCIATES PA NPI 1396852570

NPI Information

NPI: 1396852570
Provider Name: EAGLE PHYSICIANS AND ASSOCIATES PA

Doing Business As: EAGLE ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1002 N CHURCH ST
SUITE 2
GREENSBORO, NC
ZIP 27401
Phone: (336) 268-3880
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EAGLE PHYSICIANS AND ASSOCIATES PA is an ambulatory surgical clinic center in Greensboro, NC. EAGLE PHYSICIANS AND ASSOCIATES PA NPI is 1396852570. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Endoscopy Center.

The provider's business location address is:

1002 N CHURCH ST
SUITE 2
GREENSBORO, NC
ZIP 27401-439
Phone: (336) 268-3880
Fax: (336) 268-3881

The provider's authorized official is Terri S. Jones .
The authorized official title is Director, Eagle Business Services and has the following contact phone number (336) 268-3201.

The CLIA number assigned to this NPI record is 34D1052230 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 9/24/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	AS0075	NORTH CAROLINA	Yes

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
1	018A4	OTHER	NORTH CAROLINA	BCBS OF NC
2	3409942	MEDICAID	NORTH CAROLINA
3	P00376712	MEDICARE PIN	NORTH CAROLINA
4	2380960	MEDICARE PIN	NORTH CAROLINA
5	0061X	OTHER	NORTH CAROLINA	BCBS OF NC GROUP

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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