COLLEGE HEIGHTS ENDOSCOPY CENTER LLC NPI 1780686808

NPI Information

NPI: 1780686808
Provider Name: COLLEGE HEIGHTS ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D1004685

Address:
3147 COLLEGE HEIGHTS BLVD
ALLENTOWN, PA
ZIP 18104
Phone: (610) 841-2432
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COLLEGE HEIGHTS ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Allentown, PA. COLLEGE HEIGHTS ENDOSCOPY CENTER LLC NPI is 1780686808. The provider is registered as an organization entity type.

The provider's business location address is:

3147 COLLEGE HEIGHTS BLVD
ALLENTOWN, PA
ZIP 18104-813
Phone: (610) 841-2432
Fax: (610) 841-4433

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 39D1004685 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 12/14/2022.

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	261QE0800X	Clinic/Center	Endoscopy			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	15861501	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	490005657	OTHER		RAILROAD MEDICARE
2	01946863-0001	MEDICAID	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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