Active NPI
Better Living Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BETTER LIVING ENDOSCOPY CENTER
- Practice address
- 3000 Halls Ferry Rd
Vicksburg, MS 39180-4802 - Phone
- (601) 638-9800
- Fax
- (601) 638-9808
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoshinobu Namihira, M.D.
- Title
- President
- Phone
- (601) 638-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3000 Halls Ferry Rd
Vicksburg, MS 39180-4802
Mailing address
3000 Halls Ferry Rd
Vicksburg, MS 39180-4802
Phone (601) 638-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770129 | Medicaid | MS | |
| 1685445 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110210000272 | MS | Part B Supplier - Ambulatory Surgical Center | 3678753597 |
Receives reassigned benefits from 1 practitioner Practice locations: Vicksburg, MS |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Better Living Endoscopy Center
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Better Living Endoscopy Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Vicksburg, MS
- NPI 1780506220
Locations
3000 Halls Ferry Rd
Vicksburg, MS 39180
Phone (601) 638-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1295824100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HALLS FERRY RD",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391804802",
"telephone_number": "601-638-9800",
"fax_number": "601-638-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HALLS FERRY RD",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391804802",
"telephone_number": "601-638-9800",
"fax_number": "601-638-9808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETTER LIVING ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "NAMIHIRA",
"authorized_official_first_name": "YOSHINOBU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-638-9800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770129",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1685445",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.