Evergreen Endoscopy Center, Llc

LBN: Evergreen Endoscopy Center, Llc
Evergreen Endoscopy Center, Llc is an health care organization with primary practice located at 2400 Tamarack Avenue Suite 100, South Windsor CT 06074. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Endoscopy. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Evergreen Endoscopy Center, Llc can be contacted via phone (860) 644-7336, or through Wollman, William A via phone (860) 533-2123.

Contact Information

Primary practice address
2400 Tamarack Avenue Suite 100 South Windsor CT 06074
Phone: (860) 644-7336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wollman, William A
Phone: (860) 533-2123

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Endoscopy 261QE0800X

Profile Details

NPI number 1093974602
LBN Legal business name Evergreen Endoscopy Center, Llc
DBA Doing business as
Authorized official Wollman, William A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Nov 15th, 2017 - about 8 years ago

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.

Request for update

Popular Providers