ENDOSCOPY CENTER OF NORTHERN OHIO, LLC; NPI #1760491385

Contact Information

ENDOSCOPY CENTER OF NORTHERN OHIO, LLC

1299 INDUSTRIAL PARKWAY NORTH
SUITE 120
BRUNSWICK, OH 44212-4316

Phone: 330-225-6468
Fax: 330-225-6534
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ENDOSCOPY CENTER OF NORTHERN OHIO, LLC

NPI Number 1760491385

LBN Legal business name ENDOSCOPY CENTER OF NORTHERN OHIO, LLC

Authorized official CHRISTOPHER HARTSHORN - (OFFICER/AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/05/2006

Last updated 09/17/2024 - More than a year ago

Identifiers

OH	License #	0659AS
OH	Medicaid	2307408

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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