Healthcare Provider Details
I. General information
NPI: 1346386604
Provider Name (Legal Business Name): DIGESTIVE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2007
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
570 WHITE POND DR SUITE 150
AKRON OH
44320-4205
US
IV. Provider business mailing address
1A BURTON HILLS BLVD # L&C STE. 300
NASHVILLE TN
37215-6153
US
V. Phone/Fax
- Phone: 330-869-0178
- Fax: 330-869-6065
- Phone: 615-416-9014
- Fax: 615-234-1720
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QE0800X |
| Taxonomy | Endoscopy Clinic/Center |
| License Number | 0656AS |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
E.
SNODGRASS
Title or Position: PRESIDENT
Credential:
Phone: 615-665-1283