# THE ENDOSCOPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659444131
- **Authorized official:** MRS. JODY A MONTELL (ADMINISTRATOR)
- **Authorized official phone:** (808) 935-1956

## Contact information

- **Practice address:** 134 PUUHONU WAY, HILO, HI 96720-2067
- **Practice address phone:** (808) 969-3973
- **Practice address fax:** (808) 935-7657
- **Mailing address:** 134 PUUHONU WAY, HILO, HI 96720-2067
- **Mailing address fax:** (808) 935-7657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FSOF-9 | HI | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020