Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1346265287 |
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| LBN Legal business name | CCHC ENDOSCOPY CENTER INC | ||||||||
| Authorized official | STEPHEN NUCKOLLS - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/13/2006 | ||||||||
| Last updated | 03/21/2022 - About 4 years ago | ||||||||
| Identifiers |
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