Basic Information
| Provider Information | |||||||||
| NPI: | 1831339670 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SURGERY CENTER OF HARRISBURG | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4033 LINGLESTOWN ROAD | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176510000 | ||||||||
| FaxNumber: | 7176510001 | ||||||||
| Practice Location | |||||||||
| Address1: | 4033 LINGLESTOWN RD | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176510000 | ||||||||
| FaxNumber: | 7176510001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2009 | ||||||||
| LastUpdateDate: | 03/05/2009 | ||||||||
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| AuthorizedOfficialLastName: | GROSSMAN | ||||||||
| AuthorizedOfficialFirstName: | ANNETTE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7176510000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.