GOLDSBORO ENDOSCOPY CENTER INC NPI 1205804697

NPI Information

NPI: 1205804697
Provider Name: GOLDSBORO ENDOSCOPY CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 34D0917017

Address:
2705 MEDICAL OFFICE PL
GOLDSBORO, NC
ZIP 27534
Phone: (919) 580-9111
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GOLDSBORO ENDOSCOPY CENTER INC is an ambulatory surgical clinic center in Goldsboro, NC. GOLDSBORO ENDOSCOPY CENTER INC NPI is 1205804697. The provider is registered as an organization entity type.

The provider's business location address is:

2705 MEDICAL OFFICE PL
GOLDSBORO, NC
ZIP 27534-458
Phone: (919) 580-9111
Fax: (919) 580-0988

The provider's authorized official is V C Motaparthy .
The authorized official title is Medical Director and has the following contact phone number (919) 580-9111.

The CLIA number assigned to this NPI record is 34D0917017 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	AS0057	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00678	OTHER	NORTH CAROLINA	BCBSNC PROVIDER #
2	3409905	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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