# NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WFUBMC Endoscopy Center, NCBH Outpatient Endoscopy Center, LLC (Charlois Blvd)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215263082
- **Authorized official:** MR. MICHAEL THOMAS WAID (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (336) 713-0341

## Contact information

- **Practice address:** 101 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1537
- **Practice address phone:** (336) 713-0341
- **Practice address fax:** (336) 713-0333
- **Mailing address:** 101 CHARLOIS BLVD STE 100, WINSTON SALEM, NC 27103-1537
- **Mailing address phone:** (336) 713-0330
- **Mailing address fax:** (336) 713-0333

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 09/25/2025
