# THE NORTHERN NV ENDOSCOPY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Digestive Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740254572
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 5250 KIETZKE LN, RENO, NV 89511-2037
- **Practice address phone:** (775) 829-8855
- **Practice address fax:** (775) 829-3752
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 665-1283
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 470ASC-12 | NV | Yes |

## Other

- **Enumeration date:** 02/16/2006
- **Last updated:** 09/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100503331 | — | NV |
| 01 | — | 2004701 | PALMETTO GBA-TRICARE | NV |