ENDOSCOPY CENTER OF YUMA – NPI #1972578367
Clinic/Center

ENDOSCOPY CENTER OF YUMA is an AHC clinic located in YUMA, AZ. NPPES has assigned the NPI number 1972578367 to ENDOSCOPY CENTER OF YUMA on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ENDOSCOPY CENTER OF YUMA” is a dba name, the actual legal business name for this organization is YUMA AZ ENDOSCOPY ASC 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 previously updated about 3 years ago on Sep 07, 2023. 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 ENDOSCOPY CENTER OF YUMA below.

NPI Profile for
YUMA AZ ENDOSCOPY ASC LLC

NPI Number
1972578367
Enumeration Date

(more than 20 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
YUMA AZ ENDOSCOPY ASC LLC
Doing Business As (dba): ENDOSCOPY CENTER OF YUMA
Primary location
1030 W 24TH ST
SUITE 1
YUMA, AZ 85364-8384
Phone: (928) 343-1717 Fax: (928) 343-1011
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHILLIP CLENDENIN
PRESIDENT
Phone: (615) 665-1283
Updated
Identifiers

Identifiers for ENDOSCOPY CENTER OF YUMA

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
medicaidAZ116880
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)		 AZ OSC 3889

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.