PACIFIC ENDOSCOPY CENTER LLC NPI 1417377649

NPI Information

NPI: 1417377649
Provider Name: PACIFIC ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 12D0685296

Address:
134 PUUHONU WAY
HILO, HI
ZIP 96720
Phone: (808) 969-3979
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PACIFIC ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Hilo, HI. PACIFIC ENDOSCOPY CENTER LLC NPI is 1417377649. The provider is registered as an organization entity type.

The provider's business location address is:

134 PUUHONU WAY
HILO, HI
ZIP 96720-066
Phone: (808) 969-3979
Fax: (808) 531-5819

The provider's authorized official is David W. Holst .
The authorized official title is Director and has the following contact phone number (615) 345-6899.

The CLIA number assigned to this NPI record is 12D0685296 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.

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	FSOF-9	HAWAII	Yes

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

NPI Synchronization or Removal

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