Healthcare Provider Details

I. General information

NPI: 1699743393
Provider Name (Legal Business Name): YORK ENDOSCOPY CENTER L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 12/23/2015
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: 717-741-4774
Mailing address:
  • Phone: 717-741-1590
  • Fax: 717-741-4774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number119400
License Number StatePA

VIII. Authorized Official

Name: TERRI MOORE
Title or Position: CLINICAL OPERATIONS ADMINISTRATOR
Credential: RN
Phone: 717-741-1590