TILDEN AMBULATORY SURGERY CENTER, LLC


Address: 61 Industrial Dr, Hamburg, PA 19526-8768
Phone: 5706225616

TILDEN AMBULATORY SURGERY CENTER, LLC (NPI# 1871108068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871108068
Entity Type Organization
Organization Name TILDEN AMBULATORY SURGERY CENTER, LLC
Practice Address 61 Industrial Dr
Hamburg
PA 19526-8768
Mailing Address 91 Progress Ave
Pottsville
PA 17901-2966
Practice Telephone 5706225616
Mailing Telephone 5706225616
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Authorized Official Name ASHOK KUMAR (PRESIDENT)
Authorized Official Telephone 5706225616
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 61 INDUSTRIAL DR
City HAMBURG
State PA
Zip Code 19526-8768

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1275746067 Tracy Anne Smith Registered Nurse 136 Southeast Drive, Hamburg, PA 19526 2007-05-08
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1962461244 Christine Elizabeth Deaner Physical Therapist 700 Hawk Ridge Dr 1, Hamburg, PA 19526 2006-03-23
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1508400920 Nazareth Endoscopy Center, LLC Clinic/Center 2401 Northampton St Ste 220, Easton, PA 18045-2764 2019-10-29
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1669931861 Urology Health Surgery Center, LLC Clinic/Center 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 2019-03-18
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Competitor

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City HAMBURG
Zip Code 19526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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