Michiana Endoscopy Center
LBN: South Bend In Endoscopy Asc Llc
Michiana Endoscopy Center is an health care organization with primary practice located at 53830 Generations Dr , South Bend IN 46635-1557. 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.
South Bend In Endoscopy Asc Llc can be contacted via phone (574) 271-0893, or through Snodgrass, Jeffrey via phone (615) 665-1283.
Contact Information
Primary practice address
53830 Generations Dr
South Bend IN 46635-1557
Phone: (574) 271-0893
Fax: (574) 271-4362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 17-009761-1 | Indiana |
| Ambulatory Health Care Facilities / Endoscopy | 261QE0800X | 010076 | Indiana |
Profile Details
| NPI number | 1427051796 |
|---|---|
| LBN Legal business name | South Bend In Endoscopy Asc Llc |
| DBA Doing business as | Michiana Endoscopy Center |
| Authorized official | Snodgrass, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jun 28th, 2022 - about 2 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 | 1427051796 | NPPES |
| Indiana | MEDICAID | 200156540 | |
| Indiana | Other | 000000098200 |
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