institution
Evangelical Ambulatory Surgical Center, Llc
Ambulatory Surgical Clinic/Center in Lewisburg, Pennsylvania
NPI 1134114119

Evangelical Ambulatory Surgical Center, Llc is an Ambulatory Surgical Clinic/Center based in Lewisburg, PA and is specialized in Ambulatory Surgical. Evangelical Ambulatory Surgical Center, Llc practices in Lewisburg, PA. The NPI Number for Evangelical Ambulatory Surgical Center, Llc is 1134114119 and holds a License No. 14631501 (Pennsylvania).

The current practice location address for Evangelical Ambulatory Surgical Center, Llc is 210 Jpm Rd, Lewisburg, PA and can be reached out via phone at 570-524-6700 and via fax at 570-524-6710. You can also correspond with Evangelical Ambulatory Surgical Center, Llc through the mailing address at 210 JPM RD, LEWISBURG, PA - 17837-9367 (mailing address contact number: 570-524-6700).

Location: 210 Jpm Rd, Lewisburg, PA, 17837-9367
institution
Provider Profile Details
NPI Number
1134114119
Provider Name
Evangelical Ambulatory Surgical Center, Llc
Credential
Provider Entity Type
Organization
Address
210 Jpm Rd, Lewisburg, PA, 17837-9367
Phone Number
570-524-6700
Fax Number
570-524-6710
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007755680001 05 PA
20025739 01 PA AMERIHEALTH PROVIDER NUMB
39C0001119 01 PA STERLING OPTION I
79197 01 PA GEISINGER HEALTH PLAN
0167726 01 PA DEPARTMENT OF LABOR PROV#
155458XX 01 PA PREFERRED CARE
151805 01 PA HEALTH AMERICA PROV#
390839 01 PA CAPITAL BLUE CROSS
1599 01 PA HIGHMARK BLUESHIELD
490005320 01 PA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
210 Jpm Rd
City
State
Zip
17837-9367
Phone Number
570-524-6700
Fax Number
570-524-6710
person
Provider Business Mailing Address Details
Address
210 Jpm Rd
City
State
Zip
17837-9367
Phone Number
570-524-6700
Fax Number
570-524-6710
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
14631501 (Pennsylvania)
Definition
Definition to come...
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