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NPI Code Detail

MEDICARE: YORK COUNTY OUTPATIENT ENDOSCOPY CENTER LLC

MEDICARE: YORK COUNTY OUTPATIENT ENDOSCOPY CENTER LLC
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/Center

General Provider Information

NPI Number : 1760818710
Entity Type Code : Organization
Provider Name (Legal Business Name) : YORK COUNTY OUTPATIENT ENDOSCOPY CENTER LLC
Provider Business Mailing Address
First Line : 164 GLENWOOD DR
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2865
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 164 GLENWOOD DR
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2865
Country : US
Telephone Number : 803-325-9010
Fax Number :
Authorized Official
Title or Position : OFFICER/AO
Name : MR. COLLIN LEMAISTRE
Credential :
Telephone Number : 214-213-0732
Provider Enumeration Date : 09/23/2013
Last Update Date : 11/10/2024

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Directions to “YORK COUNTY OUTPATIENT ENDOSCOPY CENTER LLC ” Practice Location

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