Organization
MOSES CONE MEDICAL SERVICES INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
LeBauer Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
MR. ROBERT LEE GOLDSTEIN (EXECUTIVE VICE PRESIDENT)
(336) 832-6250
Entity
Organization
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
PO BOX 405633, ATLANTA, GA 30384-5633
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00642
BCBS NC
NC
05
—
1194744532
—
NC
Enumeration date
07/18/2006
Last updated
09/30/2014
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