CRYSTAL RIVER ENDOSCOPY ASC LP NPI 1952373086

NPI Information

NPI: 1952373086
Provider Name: CRYSTAL RIVER ENDOSCOPY ASC LP

Doing Business As: CITRUS ENDOSCOPY & SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6412 W GULF TO LAKE HWY
CRYSTAL RIVER, FL
ZIP 34429
Phone: (352) 563-0223
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CRYSTAL RIVER ENDOSCOPY ASC LP is an ambulatory surgical clinic center in Crystal River, FL. CRYSTAL RIVER ENDOSCOPY ASC LP NPI is 1952373086. The provider is registered as an organization entity type.
The provider Is Doing Business As Citrus Endoscopy & Surgery Center.

The provider's business location address is:

6412 W GULF TO LAKE HWY
CRYSTAL RIVER, FL
ZIP 34429-622
Phone: (352) 563-0223
Fax: (352) 563-2961

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 10D0945550 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 10/31/2022.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	978	FLORIDA	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	079167900	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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