Healthcare Provider Details

I. General information

NPI: 1750974176
Provider Name (Legal Business Name): NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 QUAKER LN STE C106
HIGH POINT NC
27262-3832
US

IV. Provider business mailing address

624 QUAKER LN STE C106
HIGH POINT NC
27262-3832
US

V. Phone/Fax

Practice location:
  • Phone: 336-885-1400
  • Fax:
Mailing address:
  • Phone: 336-885-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL THOMAS WAID
Title or Position: EXEC VP HEALTH SYSTEM AFFAIRS
Credential:
Phone: 336-716-8021