THE ENDOSCOPY & COLONOSCOPY CENTER – NPI #1366515504
Clinic/Center

THE ENDOSCOPY & COLONOSCOPY CENTER is an AHC clinic located in HAZELWOOD, MO. NPPES has assigned the NPI number 1366515504 to THE ENDOSCOPY & COLONOSCOPY CENTER on November 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE ENDOSCOPY & COLONOSCOPY CENTER” is a dba name, the actual legal business name for this organization is RIVERSIDE AMBULATORY SURGERY CENTER, LLC. 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 last updated on Sep 06, 2024. 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 THE ENDOSCOPY & COLONOSCOPY CENTER below.

NPI Profile for
RIVERSIDE AMBULATORY SURGERY CENTER, LLC

NPI Number
1366515504
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
RIVERSIDE AMBULATORY SURGERY CENTER, LLC
Doing Business As (dba): THE ENDOSCOPY & COLONOSCOPY CENTER
Primary location
100 VILLAGE SQ
HAZELWOOD, MO 63042-1820
Phone: (314) 373-8931 Fax: (314) 373-8935
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER HARTSHORN
MEDICARE AUTHORIZED OFFICIAL
Phone: (314) 800-2017
Updated
Certification Date
Sep 06, 2024

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 THE ENDOSCOPY & COLONOSCOPY CENTER

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.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDMO192544
otherRAILROAD MEDICAREMOP00240669
otherRR MEDICAREMOP00240669
medicaidMO504453606
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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669