The Endoscopy Center Of Bristol

LBN: The Endoscopy Center Of Bristol
The Endoscopy Center Of Bristol is an health care organization with primary practice located at 235 Medical Park Blvd , Bristol TN 37620-7455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. The Endoscopy Center Of Bristol can be contacted via phone (423) 246-6777, or through Bartley, Mark via phone (423) 246-6777.

Contact Information

Primary practice address
235 Medical Park Blvd Bristol TN 37620-7455
Fax: (423) 246-7766
Website:
Authorized official contact:
Name: Bartley, Mark CPA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000114 Tennessee

Profile Details

NPI number 1376538876
LBN Legal business name The Endoscopy Center Of Bristol
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376538876 NPPES
Tennessee Other 100036168 PHP TENNCARE
Tennessee MEDICAID 3288515 PHP TENNCARE
Tennessee MEDICAID 7603819 PHP TENNCARE
Tennessee MEDICAID 007603819 PHP TENNCARE
Tennessee Other 004001475 PHP TENNCARE

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