Healthcare Provider Details

I. General information

NPI: 1952868622
Provider Name (Legal Business Name): YORK ENDOSCOPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2690 SOUTHFIELD DR
YORK PA
17403-4510
US

IV. Provider business mailing address

2690 SOUTHFIELD DR
YORK PA
17403-4510
US

V. Phone/Fax

Practice location:
  • Phone: 717-741-1590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTOPHER MARLEY
Title or Position: SR. VP, ADMIN & GENERAL COUNSEL
Credential:
Phone: 717-231-8210