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ENDOSCOPY CENTER LLC NPI 1770502767


NPI Information

NPI: 1770502767
Provider Name: ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
1151 HOSPITAL WAY BLDG A
POCATELLO, ID
ZIP 83201
Phone: (208) 232-6616
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ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Pocatello, ID. ENDOSCOPY CENTER, LLC NPI is 1770502767. The provider is registered as an organization entity type.

The provider's business location address is:

1151 HOSPITAL WAY BLDG A
POCATELLO, ID
ZIP 83201-763
Phone: (208) 232-6616
Fax: (208) 232-6618

The provider's authorized official is Thomas Vance Davis .
The authorized official title is Member and has the following contact phone number (208) 232-6616.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.


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
1261QE0800XClinic/CenterEndoscopyYes

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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