Asc Gi Diagnostic Center, Llc in Bend - Ambulatory Surgical
Asc Gi Diagnostic Center, Llc - NPI 1174551758
Asc Gi Diagnostic Center, Llc is a Ambulatory Surgical in Bend, Oregon. Asc Gi Diagnostic Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Asc Gi Diagnostic Center, Llc is 1174551758. The last update date is 2011-05-24.
Asc Gi Diagnostic Center, Llc's current location address is 2084 Ne Professional Ct, Bend, Oregon. You can contact this provider via phone number 5413225753 and fax number 5417492130. The mailing address for Asc Gi Diagnostic Center, Llc is 2084 Ne Professional Ct, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Asc Gi Diagnostic Center, Llc |
|---|---|
| Address | 2084 Ne Professional Ct, Bend, Oregon |
| Phone Number | 5413225753 |
| Fax Number | 5417492130 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Archer B. Stephen |
| Credentials | MD |
| Telephone Number | 5413225753 |
NPI Number Detail
| NPI Number | 1174551758 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2011-05-24 |
Provider Mailing Address Detail
| Address | 2084 Ne Professional Ct |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977016077 |
| Phone Number | 5413225753 |
| Fax Number | 5417492130 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 71580 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6075 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Asc Gi Diagnostic Center, Llc by the Centers for Medicare & Medicaid Services?
The Asc Gi Diagnostic Center, Llc has been assigned the NPI (National Provider Identifier) 1174551758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Asc Gi Diagnostic Center, Llc located?
The Asc Gi Diagnostic Center, Llc is located at 2084 Ne Professional Ct, Bend, OR 977016077.
What is Asc Gi Diagnostic Center, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Asc Gi Diagnostic Center, Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174551758 to Asc Gi Diagnostic Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1174551758 to Asc Gi Diagnostic Center, Llc on 2006-06-30.
As of what date were the Asc Gi Diagnostic Center, Llc's details last updated?
The information pertaining to the Asc Gi Diagnostic Center, Llc, including its address, specialty, and other details, was most recently updated on 2011-05-24.
NPI Number: 1033119656
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