TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
Surgery Yellow Pages
Crestview Hills, Kentucky
Provider NPI: 1487651956
Organization Information:Organization Name: TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
Practice Location:
425 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017 US
Tel: 859-341-3575 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:
425 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017 US
Tel: 859-341-3575 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | KY | 300096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7100169710 | KY | 05 | |
ANTHEM | 000000003071 | 01 | |
200354210A | IN | 05 | |
MEDICARE RAILROAD | 490002071 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin