ENDOSCOPY CENTER, LLC – NPI #1770502767
Clinic/Center

ENDOSCOPY CENTER, LLC is an AHC clinic located in POCATELLO, ID. NPPES has assigned the NPI number 1770502767 to ENDOSCOPY CENTER, LLC on July 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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, LLC below.

NPI Profile for
ENDOSCOPY CENTER, LLC

NPI Number
1770502767
Enumeration Date

(about 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
ENDOSCOPY CENTER, LLC
Primary location
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201-2763
Phone: (208) 232-6616 Fax: (208) 232-6618
Mailing address
PO BOX 4788
POCATELLO, ID 83205-4788
Phone: (208) 232-6616 Fax: (208) 232-6618
Organization Subpart
No
Authorized Official
THOMAS DAVIS
MEMBER
Phone: (208) 232-6616
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
261QE0800X
- Clinic/Center / Endoscopy (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.