MOORESVILLE ENDOSCOPY CENTER LLC; NPI #1124086863

Contact Information

MOORESVILLE ENDOSCOPY CENTER LLC

1215 HADLEY RD
STE 101
MOORESVILLE, IN 46158-2905

Phone: 317-834-5800
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for MOORESVILLE ENDOSCOPY CENTER LLC

NPI Number 1124086863

LBN Legal business name MOORESVILLE ENDOSCOPY CENTER LLC

Authorized official TODD HOOPINGARNER - (VICE PRESIDENT CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2006

Last updated 06/30/2016 - About 10 years ago

Identifiers

IN	License #	040041001
IN	Medicaid	200505280A
	Other	15C0001165	CCN
	Other	ZJ7020	MEDICARE

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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