Organization
KINGSPORT ENDOSCOPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BARTLEY CPA (CHIEF ADMINISTRATIVE OFFICER)
(423) 246-6777
Entity
Organization
Contact information
Practice address
135 W RAVINE RD, SUITE 7A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Mailing address
135 W RAVINE RD, SUITE 3A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000815
ANTHEM
VA
01
—
001000993
BCBS OF TN
TN
05
—
007641354
—
VA
01
—
100020225
PHP TENNCARE
TN
05
—
3287295
—
TN
05
—
36000412
—
KY
Enumeration date
09/12/2005
Last updated
05/04/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us