Organization Name: | REGIONAL AMBULATORY SURGERY CENTER, LLC |
NPI Number: | 1437148681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | K.C. JOSEPH (PRESIDENT/CEO) |
Mailing Address: | 1376 Bucktail Rd St Marys |
State: | PA US |
Postal Code: | 158573212 |
Phone Number: | 8147816565 |
Fax Number: | 8147811985 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 15531501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |