Organization
WESTGLEN ENDOSCOPY CENTER LLC
Active
Other names
Westglen Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
16663 MIDLAND DR, SUITE 200, SHAWNEE, KS 66217-3042
(913) 248-8800
(913) 248-8858
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318050A
—
KS
01
—
490003883
RAILROAD MEDICARE
KS
Enumeration date
01/17/2006
Last updated
11/23/2022
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