Bayside Endoscopy Center

LBN: Bayside Endoscopy Center, Llc
Bayside Endoscopy Center is an health care organization with primary practice located at 33 Staniford St , Providence RI 02905-3105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Bayside Endoscopy Center, Llc can be contacted via phone (401) 274-1810, or through Baldock, Jennifer Boyd via phone (615) 234-5954.

Contact Information

Primary practice address
33 Staniford St Providence RI 02905-3105
Phone: (401) 274-1810
Fax: (401) 273-9689
Website:
Map and Directions
Authorized official contact:
Name: Baldock, Jennifer Boyd
Phone: (615) 234-5954

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X FAS01011 Rhode Island

Profile Details

NPI number 1720085657
LBN Legal business name Bayside Endoscopy Center, Llc
DBA Doing business as Bayside Endoscopy Center
Authorized official Baldock, Jennifer Boyd
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720085657 NPPES
Rhode Island MEDICAID 9411003

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