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Contact Information

DIGESTIVE ENDOSCOPY CENTER LLC
4340 CLYO RD STE 100
DAYTON, OH45459-7000
 Phone: 937-534-7330
 Fax: 937-297-2208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for DIGESTIVE ENDOSCOPY CENTER LLC

NPI Number 1003888710
LBN Legal business name DIGESTIVE ENDOSCOPY CENTER LLC
Authorized official JEFFREY SNODGRASS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2006
Last updated 05/06/2022 - About 4 years ago
Identifiers
OH License # 0386AS
OH Medicaid 2017856
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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