Kingsport Endoscopy Corporation
LBN: Kingsport Endoscopy Corporation
Kingsport Endoscopy Corporation is an health care organization with primary practice located at 135 W Ravine Rd Suite 7A, Kingsport TN 37660-3847. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Kingsport Endoscopy Corporation can be contacted via phone (423) 246-6777, or through Bartley, Mark via phone (423) 246-6777.
Contact Information
Primary practice address
135 W Ravine Rd Suite 7A
Kingsport TN 37660-3847
Phone: (423) 246-6777
Fax: (423) 246-7766
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 0000000055 | Tennessee |
Profile Details
NPI number | 1578558078 |
---|---|
LBN Legal business name | Kingsport Endoscopy Corporation |
DBA Doing business as | |
Authorized official | Bartley, Mark CPA |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | May 4th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578558078 | NPPES |
Virginia | MEDICAID | 007641354 | |
Virginia | Other | 000815 | |
Virginia | Other | 001000993 | |
Virginia | MEDICAID | 36000412 | |
Virginia | Other | 100020225 | |
Virginia | MEDICAID | 3287295 |
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