EVANGELICAL AMBULATORY SURGICAL CENTER, LLC
Surgery Yellow Pages
Lewisburg, Pennsylvania
Provider NPI: 1134114119
Organization Information:Organization Name: EVANGELICAL AMBULATORY SURGICAL CENTER, LLC
Practice Location:
210 JPM RD LEWISBURG, PA 17837 US
Tel: 570-524-6700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
210 JPM RD LEWISBURG, PA 17837 US
Tel: 570-524-6700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | PA | 14631501 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CAPITAL BLUE CROSS | 390839 | PA | 01 |
1007755680001 | PA | 05 | |
AMERIHEALTH PROVIDER NUMB | 20025739 | PA | 01 |
GEISINGER HEALTH PLAN | 79197 | PA | 01 |
DEPARTMENT OF LABOR PROV# | 0167726 | PA | 01 |
HEALTH AMERICA PROV# | 151805 | PA | 01 |
HIGHMARK BLUESHIELD | 1599 | PA | 01 |
STERLING OPTION I | 39C0001119 | PA | 01 |
PREFERRED CARE | 155458XX | PA | 01 |
RAILROAD MEDICARE | 490005320 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin