VALLEYGATE SURGERY CENTER OF NE PA LLC; NPI #1538032743

Contact Information

VALLEYGATE SURGERY CENTER OF NE PA LLC

423 3RD AVE STE D
KINGSTON, PA 18704-5809

Phone: 337-356-7044
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center
Oral and Maxillofacial Surgery	261QS0112X
Pediatric Anesthesiology	207LP3000X	05	Physician/Anesthesiology

Indicates primary specialty

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NPI Profile & details for VALLEYGATE SURGERY CENTER OF NE PA LLC

NPI #	`1538032743`
LBN Legal business name	VALLEYGATE SURGERY CENTER OF NE PA LLC
Authorized official	ERICA KENNERSON - (DIRECTOR OF STRATEGIC DEVELOPMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/24/2025
Last updated	09/24/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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