THE ENDOSCOPY CENTER AT GATEWAY LLC – NPI #1508942665
Clinic/Center

THE ENDOSCOPY CENTER AT GATEWAY LLC is an AHC clinic located in EDWARDSVILLE, PA. NPPES has assigned the NPI number 1508942665 to THE ENDOSCOPY CENTER AT GATEWAY LLC on October 31, 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 18 years ago on Sep 17, 2008. 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 CENTER AT GATEWAY LLC below.

NPI Profile for
THE ENDOSCOPY CENTER AT GATEWAY LLC

NPI Number
1508942665
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
THE ENDOSCOPY CENTER AT GATEWAY LLC
Primary location
490 NORTHAMPTON STREET
EDWARDSVILLE, PA 18704
Phone: (570) 288-8100 Fax: (570) 714-2733
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTIN FRIED
OWNER
Phone: (570) 288-8100
Updated
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.