Pine Grove Ambulatory Surgical
Pine Grove Ambulatory Surgical provides Ambulatory Surgical Clinic/Center services in Russell, Pennsylvania. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
10 Timberview LnRussell, PA 16345 Not confirmed with CMS for 18 years — call before visiting
Phone: (814) 757-5819
Fax: (814) 757-5829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1689860124 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emilee Langer — Executive Director · (814) 688-0426 |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | February 19, 2008 |
| Mailing address | 10 Timberview Lane, Russell, PA 16345 |