Healthcare Provider Details

I. General information

NPI: 1679025449
Provider Name (Legal Business Name): DIGESTIVE HEALTH COMPLEX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MAIN ST
SAINT CLAIRSVILLE OH
43950-8801
US

IV. Provider business mailing address

300 W MAIN ST
SAINT CLAIRSVILLE OH
43950-8801
US

V. Phone/Fax

Practice location:
  • Phone: 740-359-9131
  • Fax:
Mailing address:
  • Phone: 740-359-9131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0905AS
License Number StateOH

VIII. Authorized Official

Name: MRS. RANJANA KALLA CHAUDHRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 740-359-9131