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Organization
AMSURG NORTHERN KENTUCKY GI LLC
Active
Organization
AMSURG NORTHERN KENTUCKY GI LLC
Active
Other names
St. Elizabeth Physicians Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY, SUITE 160B, CRESTVIEW HILLS, KY 41017-5100
(859) 331-6466
(859) 331-1932
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(859) 331-6466
(859) 331-1932
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278324
—
OH
05
—
7100153030
—
KY
01
—
P00883600
RAILROAD MEDICARE
KY
Enumeration date
02/08/2006
Last updated
05/03/2022
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