| Organization Name: | MIFFLIN COUNTY COMMUNITY SURGICAL CENTER PC |
| NPI Number: | 1003935354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN D GORDON (PRESIDENT) |
| Mailing Address: | 311 4th St Lewistown |
| State: | PA US |
| Postal Code: | 170441316 |
| Phone Number: | 7172429565 |
| Fax Number: | 7172429510 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 10611500-PII |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |