Organization Name: | GRANDVIEW SURGERY CENTER LTD CAMP HILL AMBULATORY CENTERS GEN |
NPI Number: | 1063477198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEA HARBOR (VP) |
Mailing Address: | 205 Grandview Ave Camp Hill |
State: | PA US |
Postal Code: | 170111708 |
Phone Number: | 7177315444 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |