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NPI Code Detail

MEDICARE: THE SCRANTON PA ENDOSCOPY ASC LP

MEDICARE: THE SCRANTON PA ENDOSCOPY ASC LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center14521501PA

General Provider Information

NPI Number : 1548235963
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SCRANTON PA ENDOSCOPY ASC LP
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD # L&C
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6187
Country : US
Telephone Number : 615-240-3820
Fax Number : 615-234-1720
Provider Business Practice Location Address
First Line : 517 ASH ST
Second Line : SUITE 1
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-969-6161
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 02/20/2006
Last Update Date : 08/26/2022

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Directions to “THE SCRANTON PA ENDOSCOPY ASC LP ” Practice Location

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