WARREN GASTRO ENDOSCOPY CTR INC
Surgery Yellow Pages
Warren, Ohio
Provider NPI: 1396738936
Organization Information:Organization Name: WARREN GASTRO ENDOSCOPY CTR INC
Practice Location:
1622 E MARKET ST WARREN, OH 44483 US
Tel: 330-399-7215 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:
1622 E MARKET ST WARREN, OH 44483 US
Tel: 330-399-7215 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 | 346 0335AS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2078719 | OH | 05 | |
ANTHEM PIN | 000000157529 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin