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Contact Information

CIVISTA CLINICAL SERVICES, LLC
5 N LA PLATA CT STE 201
LA PLATA, MD20646-5208
 Phone: 301-609-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for CIVISTA CLINICAL SERVICES, LLC

NPI # 1689212151
LBN Legal business name CIVISTA CLINICAL SERVICES, LLC
Authorized official ALBERT ZANGER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/16/2019
Last updated 03/02/2020 - About 6 years ago
Identifiers n/a
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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