BULLOCH COUNTY ENDOSCOPY CENTER LLC NPI 1740237213

NPI Information

NPI: 1740237213
Provider Name: BULLOCH COUNTY ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1555 BRAMPTON AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 681-2007
Get Directions

BULLOCH COUNTY ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Statesboro, GA. BULLOCH COUNTY ENDOSCOPY CENTER, LLC NPI is 1740237213. The provider is registered as an organization entity type.

The provider's business location address is:

1555 BRAMPTON AVE
STATESBORO, GA
ZIP 30458-856
Phone: (912) 681-2007
Fax: (912) 681-1489

The provider's authorized official is Steven J Morris .
The authorized official title is Medical Director and has the following contact phone number (404) 888-7575.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/28/2011.

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	016-298	GEORGIA	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	111251ASCA	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	ASC MEDICARE PROVIDER ID#
2	003110301A	MEDICAID	GEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »