Basic Information
| Provider Information | |||||||||
| NPI: | 1952868622 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YORK ENDOSCOPY CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2690 SOUTHFIELD DR | ||||||||
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| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174034510 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2690 SOUTHFIELD DR | ||||||||
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| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174034510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177411590 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2019 | ||||||||
| LastUpdateDate: | 02/28/2019 | ||||||||
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| AuthorizedOfficialLastName: | MARLEY | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR. VP, ADMIN & GENERAL COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 7172318210 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QE0800X | N | Ambulatory Health Care Facilities | Clinic/Center | Endoscopy | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.