Organization Active NPI

Better Living Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Vicksburg, MS
National Provider Identifier
1295824100
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Nov 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yoshinobu Namihira, M.D.NPI 1871773671
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00770129MedicaidMS
1685445MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 25C0001012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Better Living Endoscopy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.