ENDOSCOPY CENTER OF KINGSPORT; NPI #1235140385

Contact Information

ENDOSCOPY CENTER OF KINGSPORT

2204 PAVILION DR STE 108
KINGSPORT, TN 37660-4651

Phone: 423-392-6100
Fax: 423-392-6159
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ENDOSCOPY CENTER OF KINGSPORT

NPI Number 1235140385

LBN Legal business name ENDOSCOPY CENTER OF KINGSPORT

Authorized official PENNY LLOYD - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2006

Last updated 11/28/2023 - About 3 years ago

Identifiers

TN	License #	0000000053
TN	Medicaid	3287396
TN	Other	1000910	BLUE CROSS BLUE SHIELD

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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ENDOSCOPY CENTER OF KINGSPORT

Contact Information

Specialty

Endoscopy

NPI Profile & details for ENDOSCOPY CENTER OF KINGSPORT

Reviews for ENDOSCOPY CENTER OF KINGSPORT