CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC – NPI #1073682159
Clinic/Center

CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC is an AHC clinic located in LEOMINSTER, MA. NPPES has assigned the NPI number 1073682159 to CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC on November 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Sep 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC below.

NPI Profile for
CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC

NPI Number
1073682159
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC
Primary location
105 ERDMAN WAY
LEOMINSTER, MA 01453-1805
Phone: (978) 840-6767 Fax: (978) 840-6766
Mailing address
1A BURTON HILLS BLVD # L&C
NASHVILLE, TN 37215-6187
Phone: (615) 240-3820 Fax: (615) 234-1720
Organization Subpart
No
Authorized Official
JEFFREY SNODGRASS
PRESIDENT
Phone: (615) 665-1283
Updated
Certification Date
Sep 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA3644952
OTHERBCBSM88031
OTHERCIGNA2952966
OTHERFALLON90346
OTHERHPHC907577
OTHERTUFTS621501
MEDICAIDMA1854127
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MA AQA3

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.