COLUMBIA ENDOSCOPY CENTER, LLC
Surgery Yellow Pages
Columbia, Missouri
Provider NPI: 1528032711
Organization Information:Organization Name: COLUMBIA ENDOSCOPY CENTER, LLC
Practice Location:
208 PORTLAND ST COLUMBIA, MO 65201 US
Tel: 573-449-3500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
208 PORTLAND ST COLUMBIA, MO 65201 US
Tel: 573-449-3500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MO | 143-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
509395208 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin