Provider Demographics
NPI:1194835124
Name:GULF GASTROENTEROLOGY PARTNERS, LLC
Entity Type:Organization
Organization Name:GULF GASTROENTEROLOGY PARTNERS, LLC
Other - Org Name:THE ENDOSCOPY CENTER AT SPRINGHILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:BECKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-460-5280
Mailing Address - Street 1:101 MEMORIAL HOSPITAL DR
Mailing Address - Street 2:305
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1786
Mailing Address - Country:US
Mailing Address - Phone:251-380-7900
Mailing Address - Fax:251-281-1161
Practice Address - Street 1:101 MEMORIAL HOSPITAL DR
Practice Address - Street 2:STE 305
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1786
Practice Address - Country:US
Practice Address - Phone:251-380-7900
Practice Address - Fax:251-281-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center