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Organization
OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER LLC
Active
Organization
OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER LLC
Active
Other names
Ocean Springs Surgical and Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3301 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4318
(228) 872-8854
(228) 872-0265
Mailing address
3301 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4318
(228) 872-8854
(228) 872-0265
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
020
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050045
BCBS
MS
05
—
00770575
—
MS
01
—
490005447
RAILROAD MEDICARE
MS
01
—
610522000
DEPT OF LABOR WC
MS
Enumeration date
06/29/2006
Last updated
01/31/2024
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