# MOSES CONE MEDICAL SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Other names:** LeBauer Endoscopy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194744532
- **Legal business name:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Authorized official:** MR. ROBERT LEE GOLDSTEIN (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (336) 832-6250

## Contact information

- **Practice address:** 520 N ELAM AVE, GREENSBORO, NC 27403-1127
- **Practice address phone:** (336) 547-1700
- **Mailing address:** PO BOX 405633, ATLANTA, GA 30384-5633
- **Mailing address phone:** (336) 547-1877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0052 | NC | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00642 | BCBS NC | NC |
| 05 | — | 1194744532 | — | NC |
