| Hazleton Surgery Center, Llc | |
|
50 Moisey Drive Suite 100 Hazleton PA 18202-9297 | |
| (570) 501-6500 | |
| Not Available |
| Full Name | Hazleton Surgery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Moisey Drive, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Jonathan Bailey (OFFICER, MEDICARE AUTHORIZED OFFICI) |
| Authorized Official Contact | 2036091168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazleton Surgery Center, Llc 50 Moisey Drive Suite 100 Hazleton PA 18202-9297 Ph: (570) 501-6500 | Hazleton Surgery Center, Llc 50 Moisey Drive Suite 100 Hazleton PA 18202-9297 Ph: (570) 501-6500 |
| NPI Number | 1851406821 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 8729087481 |
|---|---|
| Medicare Enrollment ID | O20061207000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851406821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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