Organization
THE ENDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. MCGUIRE M.D. (ADMINISTRATOR)
(605) 721-8121
Entity
Organization
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 721-8121
(605) 721-8425
Mailing address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 721-8121
(605) 721-8425
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
53001EUT001
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5490230
—
SD
01
—
81015
BLUE CROSS BLUE SHIELD SD
SD
Enumeration date
01/09/2007
Last updated
07/21/2022
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