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THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS NPI 1073789020


NPI Information

NPI: 1073789020
Provider Name: THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1439 STUART ENGALS BLVD
SUITE 100
MT PLEASANT, SC
ZIP 29464
Phone: (843) 853-7730
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THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS is an ambulatory surgical clinic center in Mt Pleasant, SC. THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS NPI is 1073789020. The provider is registered as an organization entity type.

The provider's business location address is:

1439 STUART ENGALS BLVD
SUITE 100
MT PLEASANT, SC
ZIP 29464-305
Phone: (843) 853-7730
Fax: (843) 722-8766

The provider's authorized official is Rudolph B Rustin .
The authorized official title is Owner and has the following contact phone number (843) 853-7730.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 12/14/2012.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
11760411896OTHERSOUTH CAROLINAPARENT ORGANIZATION NPI
2582454655OTHERSOUTH CAROLINAPARENT ORGANIZATION TAX ID

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

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.