DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC NPI 1295847317

NPI Information

NPI: 1295847317
Provider Name: DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1052736

Address:
375 N EASTOWN RD
LIMA, OH
ZIP 45807
Phone: (419) 228-3500
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DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Lima, OH. DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC NPI is 1295847317. The provider is registered as an organization entity type.

The provider's business location address is:

375 N EASTOWN RD
LIMA, OH
ZIP 45807-214
Phone: (419) 228-3500
Fax: (419) 879-6872

The provider's authorized official is Abdulla Taja .
The authorized official title is President and has the following contact phone number (419) 228-3500.

The CLIA number assigned to this NPI record is 36D1052736 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/29/2010.

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	0802AS	OHIO	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	2721273	MEDICAID	OHIO
2	3612171	MEDICARE PIN	OHIO
3	000000513356	OTHER	OHIO	ANTHEM

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: 11/14/2023

NPI Synchronization or Removal

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