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MVH ENDOSCOPY LLC NPI 1467979443


NPI Information

NPI: 1467979443
Provider Name: MVH ENDOSCOPY LLC

Doing Business As: PCS ENDOSCOPY SUITE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 13D1026192

Address:
110 VISTA DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-2300
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MVH ENDOSCOPY LLC is an ambulatory surgical clinic center in Pocatello, ID. MVH ENDOSCOPY LLC NPI is 1467979443. The provider is registered as an organization entity type.
The provider Is Doing Business As Pcs Endoscopy Suite.

The provider's business location address is:

110 VISTA DR
POCATELLO, ID
ZIP 83201-824
Phone: (208) 234-2300

The provider's authorized official is Ned Hillyard .
The authorized official title is Cco and has the following contact phone number (208) 709-4571.

The CLIA number assigned to this NPI record is 13D1026192 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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