THE ENDOSCOPY CENTER OF BRISTOL
Surgery Yellow Pages
Bristol, Tennessee
Provider NPI: 1376538876
Organization Information:Organization Name: THE ENDOSCOPY CENTER OF BRISTOL
Practice Location:
235 MEDICAL PARK BLVD BRISTOL, TN 37620 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:
235 MEDICAL PARK BLVD BRISTOL, TN 37620 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 | 0000000114 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
007603819 | VA | 05 | |
7603819 | KY | 05 | |
PHP TENNCARE | 100036168 | TN | 01 |
3288515 | TN | 05 | |
BCBS OF TN | 004001475 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin