SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.


Address: 141 Morrison St, Twin Falls, ID 83301-5451
Phone: 2087323030

SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C. (NPI# 1669410361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669410361
Entity Type Organization
Organization Name SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.
Other Organization Name SNAKE RIVER ENDOSCOPY CENTER
Practice Address 141 Morrison St
Twin Falls
ID 83301-5451
Practice Telephone 2087323030
Practice Fax Number 2087338970
Mailing Telephone 2087323030
Mailing Fax Number 2087338970
Enumeration Date 2006-06-03
Last Update Date 2008-06-17
Authorized Official Name ROBERT WARD (PHYSICIAN)
Authorized Official Telephone 2087323030
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID RR MEDICARE P00056475 01
ID 806686500 05

Other Provider/Organization Names

Other Name Type Code
SNAKE RIVER ENDOSCOPY CENTER Doing Business As Name - Organization

Office Location

Street Address 141 MORRISON ST
City TWIN FALLS
State ID
Zip Code 83301-5451

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053702837 Heather Mcdonald Nope Physician Assistant 141 Morrison St, Twin Falls, ID 83301-5451 2015-02-14
1114032984 Trinity Ear Nose & Throat PC Specialist 141 Morrison St, Twin Falls, ID 83301-5451 2006-08-20

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1265894687 Shawna Fultz Social Worker 1201 Fall Ave East Suite C, Twin Falls, ID 83301 2016-03-24
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Taxonomy Information

Taxonomy Code 261QE0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Endoscopy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770502767 Endoscopy Center, LLC Clinic/Center 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 2006-07-19
1437148004 Lewis Clark Endoscopy, Pllc Clinic/Center 1630 23rd Ave, Suite 801, Lewiston, ID 83501-6345 2005-10-17

Competitor

Search similar providers

City TWIN FALLS
Zip Code 83301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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