SURGERY CENTER OF PENNSYLVANIA, LLC; NPI #1922025006

Contact Information

SURGERY CENTER OF PENNSYLVANIA, LLC

2010 W CHESTER PIKE
SUITE 212
HAVERTOWN, PA 19083-2700

Phone: 610-853-7700
Fax: 610-853-7755
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SURGERY CENTER OF PENNSYLVANIA, LLC

NPI Number 1922025006

LBN Legal business name SURGERY CENTER OF PENNSYLVANIA, LLC

Authorized official DEBORAH TUCKER - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

PA	License #	10271500
PA	Medicaid	0019414000001
PA	Other	3052119	AETNA
PA	Other	1618	INDEPENDENCE BLUE CROSS
PA	Other	0001618000	KEYSTONE HEALTH PLAN EAST
PA	Other	30005351	KEYSTONE MERCY HEALTH PLA

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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SURGERY CENTER OF PENNSYLVANIA, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for SURGERY CENTER OF PENNSYLVANIA, LLC

Reviews for SURGERY CENTER OF PENNSYLVANIA, LLC