Organization
THE NORTHERN NV ENDOSCOPY ASC LLC
Active
Other names
Digestive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
5250 KIETZKE LN, RENO, NV 89511-2037
(775) 829-8855
(775) 829-3752
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
470ASC-12
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503331
—
NV
01
—
2004701
PALMETTO GBA-TRICARE
NV
Enumeration date
02/16/2006
Last updated
09/26/2022
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