Fayetteville Endoscopy

LBN: Fayetteville Gastroenterology Associates, P.A.
Fayetteville Endoscopy is an health care organization with primary practice located at 2041 Valleygate Dr , Fayetteville NC 28304-3745. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Fayetteville Gastroenterology Associates, P.A. can be contacted via phone (910) 323-5203, or through Casillo, Tina M. via phone (910) 323-5203.

Contact Information

Primary practice address
2041 Valleygate Dr Fayetteville NC 28304-3745
Phone: (910) 323-5203
Fax: (910) 323-3650
Website:
Map and Directions
Authorized official contact:
Name: Casillo, Tina M.
Phone: (910) 323-5203

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X AS0071 North Carolina

Profile Details

NPI number 1417141623
LBN Legal business name Fayetteville Gastroenterology Associates, P.A.
DBA Doing business as Fayetteville Endoscopy
Authorized official Casillo, Tina M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 30th, 2007
Last updated Feb 11th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417141623 NPPES
North Carolina Other 2380979 MEDICARE FACILITY NUMBER

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