Active NPIOrganization

ASC Gi Diagnostic Center, LLC

Clinic/Center, Ambulatory Surgical in Bend, Oregon

NPI Number1174551758
Practice location
2084 NE Professional CT, Bend, OR 97701-6077
Fax
541-749-2130
Last updated
May 24, 2011

ASC Gi Diagnostic Center, LLC is a healthcare organization based in Bend, OR. The NPI number for ASC Gi Diagnostic Center, LLC is 1174551758 and holds license No. 071580 (OR). The current practice location address is 2084 NE Professional CT, Bend, OR 97701-6077 and the office can be reached by phone at 541-322-5753 and by fax at 541-749-2130. The NPI was assigned on June 30, 2006 and the record was last updated in NPPES on May 24, 2011.

●Provider Profile Details

NPI Number
1174551758
Provider Name
ASC Gi Diagnostic Center, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X
Organization Subpart
No
Authorized Official
Stephen B. Archer, MD · Medical Director · 541-322-5753
Enumeration Date
June 30, 2006
Last Update Date
May 24, 2011
NPI Status
Active

◉Business Practice Location Address

Address
2084 NE Professional CT
Bend, OR 97701-6077
City
Bend
State
Oregon
ZIP
97701-6077
Country
US
Phone Number
541-322-5753
Fax Number
541-749-2130

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✉Business Mailing Address

Address
2084 NE Professional CT
Bend, OR 97701-6077
City
Bend
State
OR
ZIP
97701-6077
Phone Number
541-322-5753
Fax Number
541-749-2130

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Clinic/Center, Ambulatory Surgical261QA1903XYes071580OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of ASC Gi Diagnostic Center, LLC?

The NPI number of ASC Gi Diagnostic Center, LLC is 1174551758. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of ASC Gi Diagnostic Center, LLC?

ASC Gi Diagnostic Center, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X) and holds license No. 071580 (OR).

Where does ASC Gi Diagnostic Center, LLC practice?

The practice location is 2084 NE Professional CT, Bend, OR 97701-6077. The office can be reached at 541-322-5753 (phone) or 541-749-2130 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174551758 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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