GASTRO CARE LLC NPI 1740424944

NPI Information

NPI: 1740424944
Provider Name: GASTRO CARE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1100016

Address:
2355 DERR RD
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 629-0100
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GASTRO CARE, LLC is an ambulatory surgical clinic center in Springfield, OH. GASTRO CARE, LLC NPI is 1740424944. The provider is registered as an organization entity type.

The provider's business location address is:

2355 DERR RD
SPRINGFIELD, OH
ZIP 45503-433
Phone: (937) 629-0100
Fax: (937) 629-3285

The provider's authorized official is Challa Ajit .
The authorized official title is Physician and has the following contact phone number (937) 629-0100.

The CLIA number assigned to this NPI record is 36D1100016 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2009 and was last updated on 5/1/2009.

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			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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