HERSHEY ENDOSCOPY CENTER LLC NPI 1710985445

NPI Information

NPI: 1710985445
Provider Name: HERSHEY ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D2002620

Address:
905 W GOVERNOR RD
SUITE 100
HERSHEY, PA
ZIP 17033
Phone: (717) 531-1318
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HERSHEY ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Hershey, PA. HERSHEY ENDOSCOPY CENTER, LLC NPI is 1710985445. The provider is registered as an organization entity type.

The provider's business location address is:

905 W GOVERNOR RD
SUITE 100
HERSHEY, PA
ZIP 17033-307
Phone: (717) 531-1318
Fax: (717) 531-0356

The provider's authorized official is Marilee D Ball .
The authorized official title is Manager and has the following contact phone number (717) 531-1318.

The CLIA number assigned to this NPI record is 39D2002620 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 9/28/2007.

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	17201501	PENNSYLVANIA	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	074431	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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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