HAZLETON ENDOSCOPY CENTER INC. NPI 1043375702

NPI Information

NPI: 1043375702
Provider Name: HAZLETON ENDOSCOPY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10 PARK PLACE
HAZLE TOWNSHIP, PA
ZIP 18202
Phone: (570) 454-1400
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HAZLETON ENDOSCOPY CENTER, INC. is an ambulatory surgical clinic center in Hazle Township, PA. HAZLETON ENDOSCOPY CENTER, INC. NPI is 1043375702. The provider is registered as an organization entity type.

The provider's business location address is:

10 PARK PLACE
HAZLE TOWNSHIP, PA
ZIP 18202-394
Phone: (570) 454-1400
Fax: (570) 454-2144

The provider's authorized official is Young Kul Yoo .
The authorized official title is President and has the following contact phone number (570) 454-1400.

The enumeration date for this NPI number is 12/23/2006 and was last updated on 12/24/2008.

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	14601501	PENNSYLVANIA	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	051420	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	1007294940003	MEDICAID	PENNSYLVANIA
3	2678733	OTHER	PENNSYLVANIA	AETNA

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

NPI Synchronization or Removal

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