Provider Demographics
NPI:1750974176
Name:NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.
Entity type:Organization
Organization Name:NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC VP HEALTH SYSTEM AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-716-8021
Mailing Address - Street 1:624 QUAKER LN STE C106
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-885-1400
Mailing Address - Fax:
Practice Address - Street 1:624 QUAKER LN STE C106
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3832
Practice Address - Country:US
Practice Address - Phone:336-885-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-17
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy