Active NPIOrganization

Bayside Endoscopy Center, LLC

Clinic/Center, Endoscopy in Providence, Rhode Island

NPI Number1720085657
Practice location
33 Staniford St, Providence, RI 02905-3105
Fax
401-273-9689
Last updated
February 8, 2023

Bayside Endoscopy Center, LLC is a healthcare organization based in Providence, RI. Bayside Endoscopy Center, LLC practices in Providence, RI. The NPI Number for Bayside Endoscopy Center, LLC is 1720085657 and holds a License No. FAS01011 (RI). The current practice location address for Bayside Endoscopy Center, LLC is 33 Staniford St, Providence, RI 02905-3105 and can be reached out via phone at 401-274-1810 and via fax at 401-273-9689.

Provider Profile Details

NPI Number
1720085657
Provider Name
Bayside Endoscopy Center, LLC
Provider Entity Type
Organization
Address
33 Staniford St, Providence, RI 02905-3105
Phone Number
401-274-1810
Fax Number
401-273-9689
Primary Taxonomy
Clinic/Center, Endoscopy · 261QE0800X
Organization Subpart
No
Authorized Official
Jennifer Boyd Baldock · Officer And Authorized Official · 615-234-5954
Other Names
Bayside Endoscopy Center (Doing Business As)
Provider Enumeration Date
July 7, 2005
Last Update Date
February 8, 2023
Certification Date
February 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Staniford St
Providence, RI 02905-3105
Zip
02905-3105
Phone Number
401-274-1810
Fax Number
401-273-9689
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
33 Staniford St
Providence, RI 02905-3105
City
Providence
State
RI
Zip
02905-3105
Phone Number
401-274-1810
Fax Number
401-273-9689

License Information

License Number
FAS01011
License State
RI
Taxonomy
Clinic/Center, Endoscopy · 261QE0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy 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 Bayside Endoscopy Center, LLC?

The NPI number of Bayside Endoscopy Center, LLC is 1720085657. It was assigned on July 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Bayside Endoscopy Center, LLC?

Bayside Endoscopy Center, LLC is registered under the primary taxonomy Clinic/Center, Endoscopy (code 261QE0800X), licensed in RI under license number FAS01011.

Where does Bayside Endoscopy Center, LLC practice?

The practice location is 33 Staniford St, Providence, RI 02905-3105. The office can be reached at 401-274-1810 (phone) or 401-273-9689 (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 1720085657 directly on the NPPES registry website.

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