YORK COUNTY ENDOSCOPY CENTER LLC
NPI 1003058744
Clinic/Center - Ambulatory Surgical in Rock Hill, SC

NPI Status: Active since March 26, 2009

Contact Information

164 GLENWOOD DRIVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 325-9010
Fax: (803) 325-9015

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 42D1098380
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-16-2027

About YORK COUNTY ENDOSCOPY CENTER LLC

This page provides the complete NPI Profile along with additional information for York County Endoscopy Center Llc, a provider established in Rock Hill, South Carolina operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1003058744 assigned on March 2009. The practitioner's primary taxonomy code is 261QA1903X with license number ASF-0113 (SC). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Stephen Bott Md (Medical Director)

NPI
1003058744
Provider Name
YORK COUNTY ENDOSCOPY CENTER LLC
Entity Type
Organization
Location Address
164 GLENWOOD DRIVE ROCK HILL, SC 29732
Location Phone
(803) 325-9010
Location Fax
(803) 325-9015
Mailing Address
164 GLENWOOD DRIVE ROCK HILL, SC 29732
Mailing Phone
(803) 325-9010
Mailing Fax
(803) 325-9015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2009
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
ASF-0113
License State
SC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Bronze Essential - HMO
  • UHC Bronze Essential- - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard Plus Chiro - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard Plus Chiro - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Advantage+ (Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard Plus Chiro - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN BOTT MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(803) 325-9010

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ASF0113OTHER (01)SCSC DHEC
Q351120001OTHER (01)MEDICARE PTAN
42C0001 080OTHER (01)SCCCN
42D1098380OTHER (01)MEDICARE CLIA WAIVER
75-12730OTHER (01)SCSC DHEC

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1098380
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 17, 2025
Certificate Expiration Date
April 16, 2027
Laboratory Director
BRET GARRETSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to York County Endoscopy Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003058744, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 5 + 1 + 6 + 7 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003058744.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003058744, enumerated as an "organization" on March 26, 2009.

The provider is located at 164 GLENWOOD DRIVE ROCK HILL, SC 29732 and the phone number is (803) 325-9010.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.