Provider Demographics
NPI:1528462819
Name:THE ENDOSCOPY CENTER, INC.
Entity type:Organization
Organization Name:THE ENDOSCOPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-671-3671
Mailing Address - Street 1:870 SHASTA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4117
Mailing Address - Country:US
Mailing Address - Phone:530-671-3671
Mailing Address - Fax:530-671-3797
Practice Address - Street 1:870 SHASTA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4117
Practice Address - Country:US
Practice Address - Phone:530-671-3671
Practice Address - Fax:530-671-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical