RALEIGH NC ENDOSCOPY ASC LLC NPI 1972694982

NPI Information

NPI: 1972694982
Provider Name: RALEIGH NC ENDOSCOPY ASC LLC

Doing Business As: RALEIGH ENDOSCOPY CENTER - NORTH

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

Specialization: Ambulatory Surgical

Address:
8300 HEALTH PARK
SUITE 210
RALEIGH, NC
ZIP 27615
Phone: (919) 256-7980
Get Directions

RALEIGH NC ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Raleigh, NC. RALEIGH NC ENDOSCOPY ASC LLC NPI is 1972694982. The provider is registered as an organization entity type.
The provider Is Doing Business As Raleigh Endoscopy Center - North.

The provider's business location address is:

8300 HEALTH PARK
SUITE 210
RALEIGH, NC
ZIP 27615
Phone: (919) 256-7980
Fax: (919) 256-7981

The provider's authorized official is Phillip Clendenin .
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 34D1058811 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 12/2/2014.

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	AS0082	NORTH CAROLINA	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	2783156A	MEDICARE PIN	NORTH CAROLINA
2	34C0001123	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA
3	3409950	MEDICAID	NORTH CAROLINA
4	P00149328	OTHER	NORTH CAROLINA	RAILROAD MEDICARE

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »