GRAND JUNCTION ENDOSCOPY CENTER PROF LLC NPI 1356493787

NPI Information

NPI: 1356493787
Provider Name: GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1035 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 242-6600
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GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC is an ambulatory surgical clinic center in Grand Junction, CO. GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC NPI is 1356493787. The provider is registered as an organization entity type.

The provider's business location address is:

1035 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501-122
Phone: (970) 242-6600
Fax: (970) 242-1070

The provider's authorized official is Steven Seagren .
The authorized official title is Medical Director and has the following contact phone number (970) 242-6600.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 12/31/2013.

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	0551	COLORADO	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	P00170820	OTHER	COLORADO	RRPTAN
2	Y23830	MEDICARE UPIN	COLORADO
3	C800493	MEDICARE PIN	COLORADO
4	22458808	MEDICAID	COLORADO

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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