GI ENDOSCOPY CENTER, INC; NPI #1639159916

Contact Information

GI ENDOSCOPY CENTER, INC

2560 NW MEDICAL PARK DR
ROSEBURG, OR 97470-5510

Phone: 541-673-2046
Fax: 541-673-0454
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for GI ENDOSCOPY CENTER, INC

NPI Number 1639159916

LBN Legal business name GI ENDOSCOPY CENTER, INC

Authorized official DEBORAH DIXON - (ASSISTANT ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/20/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

OR	License #	071432
OR	Medicaid	007034

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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