Evangelical Ambulatory Surgical Center, Llc in Lewisburg - Ambulatory Surgical

Evangelical Ambulatory Surgical Center, Llc - NPI 1134114119

Evangelical Ambulatory Surgical Center, Llc is a Ambulatory Surgical in Lewisburg, Pennsylvania. Evangelical Ambulatory Surgical Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Evangelical Ambulatory Surgical Center, Llc is 1134114119. The last update date is 2008-04-22.

Evangelical Ambulatory Surgical Center, Llc's current location address is 210 Jpm Rd, Lewisburg, Pennsylvania. You can contact this provider via phone number 5705246700 and fax number 5705246710. The mailing address for Evangelical Ambulatory Surgical Center, Llc is 210 Jpm Rd, Lewisburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evangelical Ambulatory Surgical Center, Llc
Address 210 Jpm Rd, Lewisburg, Pennsylvania
Phone Number 5705246700
Fax Number 5705246710
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Maloney J. William
Telephone Number 5705246700

NPI Number Detail

NPI Number 1134114119
Provider Enumeration Date 2005-09-15
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 210 Jpm Rd
City Lewisburg
State Pennsylvania (PA)
Post Code 178379367
Phone Number 5705246700
Fax Number 5705246710

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 14631501
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007755680001 PA --
20025739 PA AMERIHEALTH PROVIDER NUMB
39C0001119 PA STERLING OPTION I
79197 PA GEISINGER HEALTH PLAN
167726 PA DEPARTMENT OF LABOR PROV#
155458XX PA PREFERRED CARE
151805 PA HEALTH AMERICA PROV#
390839 PA CAPITAL BLUE CROSS
1599 PA HIGHMARK BLUESHIELD
490005320 PA RAILROAD MEDICARE

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FAQs about Evangelical Ambulatory Surgical Center, Llc

What is the unique identification code assigned to Evangelical Ambulatory Surgical Center, Llc by the Centers for Medicare & Medicaid Services?

The Evangelical Ambulatory Surgical Center, Llc has been issued the NPI (National Provider Identifier) 1134114119. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Evangelical Ambulatory Surgical Center, Llc?

The Evangelical Ambulatory Surgical Center, Llc is situated at 210 Jpm Rd, in the city of Lewisburg, state of PA, with the zip code 178379367.

What is the area of specialization for Evangelical Ambulatory Surgical Center, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Evangelical Ambulatory Surgical Center, Llc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.

When was the Evangelical Ambulatory Surgical Center, Llc's 1134114119 issued?

The Evangelical Ambulatory Surgical Center, Llc's 1134114119 was issued on 2005-09-15.

As of what date was the information pertaining to Evangelical Ambulatory Surgical Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Evangelical Ambulatory Surgical Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-22.

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