KINGSPORT ENDOSCOPY CORPORATION
Surgery Yellow Pages
Kingsport, Tennessee
Provider NPI: 1578558078
Organization Information:Organization Name: KINGSPORT ENDOSCOPY CORPORATION
Practice Location:
135 W RAVINE RD SUITE 7A KINGSPORT, TN 37660 US
Tel: 423-246-6777 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:
135 W RAVINE RD SUITE 7A KINGSPORT, TN 37660 US
Tel: 423-246-6777 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TN | 0000000055 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHP TENNCARE | 100020225 | TN | 01 |
BCBS OF TN | 001000993 | TN | 01 |
ANTHEM | 000815 | VA | 01 |
007641354 | VA | 05 | |
3287295 | TN | 05 | |
36000412 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin