Organization
HUNTSVILLE ENDOSCOPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W BROWN MD (PRESIDENT)
(256) 533-6488
Entity
Organization
Contact information
Practice address
119 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 533-6488
(256) 533-6495
Mailing address
PO BOX 2324, BIRMINGHAM, AL 35201-2324
(256) 533-7064
(256) 704-0115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490002101
RAILROAD MEDICARE
AL
05
—
ASC0027C
—
AL
Enumeration date
06/06/2006
Last updated
10/12/2018
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