# CPGI ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1962436337
- **Authorized official:** MS. SHELLEY N RINE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (570) 524-2722

## Contact information

- **Practice address:** 90 MEDICAL PARK DRIVE, LEWISBURG, PA 17837-8032
- **Practice address phone:** (570) 524-2722
- **Practice address fax:** (570) 524-0362
- **Mailing address:** 90 MEDICAL PARK DRIVE, LEWISBURG, PA 17837-8032

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020
