EASTERN CONNECTICUT ENDOSCOPY CENTER LLC; NPI #1609864883

Contact Information

EASTERN CONNECTICUT ENDOSCOPY CENTER LLC

79 WAWECUS ST
SUITE 107
NORWICH, CT 06360-2160

Phone: 860-886-7800
Fax: 860-886-7808
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Endoscopy	261QE0800X
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for EASTERN CONNECTICUT ENDOSCOPY CENTER LLC

NPI # 1609864883

LBN Legal business name EASTERN CONNECTICUT ENDOSCOPY CENTER LLC

Authorized official JEFFREY SNODGRASS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2005

Last updated 08/09/2022 - About 4 years ago

Identifiers

CT	License #	0295
	Other	2373165	AETNA PHMO POS
	Other	2373165	AETNA PPO EPO NAP MC
	Other	351	BCBS CT
	Other	351	BCBS FEDERAL
	Other	765560	CONNECTICARE
	Other	IV9845	HEALTH NET
	Other	351	NBC NATIONAL
	Other	A2114853	OXFORD
	Other	2373165	USHC AETNA US HEALTH CARE
CT	Other	490004614	MEDICARE RAILROAD

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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