VALLEYGATE SURGERY CENTER OF NE PA LLC – NPI #1538032743
Clinic/Center

VALLEYGATE SURGERY CENTER OF NE PA LLC is an AHC clinic located in KINGSTON, PA. NPPES has assigned the NPI number 1538032743 to VALLEYGATE SURGERY CENTER OF NE PA LLC on September 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLEYGATE SURGERY CENTER OF NE PA LLC below.

NPI Profile for
VALLEYGATE SURGERY CENTER OF NE PA LLC

NPI Number
1538032743
Enumeration Date

(about 9 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VALLEYGATE SURGERY CENTER OF NE PA LLC
Primary location
423 3RD AVE STE D
KINGSTON, PA 18704-5809
Phone: (337) 356-7044 Fax:
Mailing address
2028 LITHO PL
FAYETTEVILLE, NC 28304-2537
Phone: Fax:
Organization Subpart
No
Authorized Official
ERICA KENNERSON
DIRECTOR OF STRATEGIC DEVELOPMENT
Phone: (337) 356-7044
Updated
Certification Date
Sep 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery
207LP3000X
- Anesthesiology / Pediatric Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.