TIPPECANOE ENDOSCOPY INC
Surgery Yellow Pages
Youngstown, Ohio
Provider NPI: 1245224286
Organization Information:Organization Name: TIPPECANOE ENDOSCOPY INC
Practice Location:
1210 BOARDMAN CANFIELD RD YOUNGSTOWN, OH 44512 US
Tel: 330-726-0132 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:
1210 BOARDMAN CANFIELD RD YOUNGSTOWN, OH 44512 US
Tel: 330-726-0132 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | OH | 0009AS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0300481 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin