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? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |