FALLSGROVE ENDOSCOPY CENTER LLC NPI 1972141455

NPI Information

NPI: 1972141455
Provider Name: FALLSGROVE ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2179921

Address:
15001 SHADY GROVE RD STE 400 4TH FLOOR
ROCKVILLE, MD
ZIP 20850
Phone: (215) 589-9024
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FALLSGROVE ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Rockville, MD. FALLSGROVE ENDOSCOPY CENTER, LLC NPI is 1972141455. The provider is registered as an organization entity type.

The provider's business location address is:

15001 SHADY GROVE RD STE 400 4TH FLOOR
ROCKVILLE, MD
ZIP 20850-352
Phone: (215) 589-9024
Fax: (833) 705-6301

The provider's authorized official is Sharon Hohlfeld .
The authorized official title is Vp Of Payer Contracting and has the following contact phone number (215) 589-9024.

The CLIA number assigned to this NPI record is 21D2179921 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 4/20/2020.

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 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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