ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY – NPI #1851620249
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY is a radiologist located in CLEVELAND, MS. NPPES has assigned the NPI number 1851620249 to ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY on December 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY” is a dba name, the actual legal business name for this organization is VASCULAR ACCESS CENTER OF BOLIVAR COUNTY LLC. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Jun 13, 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 ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY below.

NPI Profile for
VASCULAR ACCESS CENTER OF BOLIVAR COUNTY LLC

NPI Number
1851620249
Enumeration Date

(more than 16 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
VASCULAR ACCESS CENTER OF BOLIVAR COUNTY LLC
Doing Business As (dba): ENDOVASCULAR HEALTH SERVICES OF BOLIVAR COUNTY
Primary location
810 E SUNFLOWER RD
SUITE 100B
CLEVELAND, MS 38732-2800
Phone: (662) 579-3484 Fax: (662) 579-3485
Mailing address
285 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317-9039
Phone: (610) 558-2800 Fax: (610) 558-4839
Organization Subpart
No
Authorized Official
RAE CREWS
DIRECTOR OF OPERATIONS
Phone: (662) 579-3484
Updated
Certification Date
Jun 13, 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.

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
2085R0204X
- Radiology / Vascular & Interventional Radiology (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.