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Organization
THE NORTHERN NV ENDOSCOPY ASC LLC
Active
Organization
THE NORTHERN NV ENDOSCOPY ASC LLC
Active
Other names
Digestive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
5250 KIETZKE LN, RENO, NV 89511-2037
(775) 829-8855
(775) 829-3752
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
470ASC-12
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503331
—
NV
01
—
2004701
PALMETTO GBA-TRICARE
NV
Enumeration date
02/16/2006
Last updated
09/26/2022
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