Kingsport Endoscopy Corporation, NPI 1578558078
Ambulatory Surgical Clinic/Center in Kingsport, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1578558078 |
| NPI Entity Type | Organization |
| Provider Name | Kingsport Endoscopy Corporation |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 135 W Ravine Rd, Suite 7a, Kingsport, TN, US |
| Provider Mailing Address | 135 W Ravine Rd, Suite 3a, Kingsport, TN, US, 376603847 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. CPA Mark Bartley |
| Official Position | CHIEF ADMINISTRATIVE OFFICER |
| Phone | 423-246-6777 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Ambulatory Surgical Clinic/Center |
| Classification | |
| Group | |
| License No. | 0000000055 |
| License State | TN |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 007641354 | VA | MEDICAID | 05 |
| 000815 | VA | ANTHEM | 01 |
| 001000993 | TN | BCBS OF TN | 01 |
| 36000412 | KY | MEDICAID | 05 |
| 100020225 | TN | PHP TENNCARE | 01 |
| 3287295 | TN | MEDICAID | 05 |
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|---|---|---|---|
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NEMT Olivia Williams Individual |
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M.D. David D. Buckman Individual |
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Park Center Organization |
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DR. M.D. Melissa Lynn Mckittrick Individual |
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FNP-BC Misty Renee Nichols Individual |
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MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
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Dovamed Medical Organization |
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Taylor Woods Individual |
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MRS. PA-C Brittany C Smith Individual |
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