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ENDOSCOPY CENTER OF GRAND JUNCTION LLC NPI 1659625101


NPI Information

NPI: 1659625101
Provider Name: ENDOSCOPY CENTER OF GRAND JUNCTION LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D1028763

Address:
1035 WELLINGTON AVE
STE 102
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 242-6600
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ENDOSCOPY CENTER OF GRAND JUNCTION LLC is an ambulatory surgical clinic center in Grand Junction, CO. ENDOSCOPY CENTER OF GRAND JUNCTION LLC NPI is 1659625101. The provider is registered as an organization entity type.

The provider's business location address is:

1035 WELLINGTON AVE
STE 102
GRAND JUNCTION, CO
ZIP 81501-122
Phone: (970) 242-6600
Fax: (970) 241-8443

The provider's authorized official is David W. Holst .
The authorized official title is President Board Of Managers and has the following contact phone number (615) 345-6900.

The CLIA number assigned to this NPI record is 06D1028763 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 4/5/2016.


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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