PINE GROVE AMBULATORY SURGICAL – NPI #1689860124
Clinic/Center

PINE GROVE AMBULATORY SURGICAL is an AHC clinic located in RUSSELL, PA. NPPES has assigned the NPI number 1689860124 to PINE GROVE AMBULATORY SURGICAL on September 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 18 years ago on Feb 19, 2008. 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 PINE GROVE AMBULATORY SURGICAL below.

NPI Profile for
PINE GROVE AMBULATORY SURGICAL

NPI Number
1689860124
Enumeration Date

(more than 18 years 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
PINE GROVE AMBULATORY SURGICAL
Primary location
10 TIMBERVIEW LANE
RUSSELL, PA 16345
Phone: (814) 757-5819 Fax: (814) 757-5829
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMILEE LANGER
EXECUTIVE DIRECTOR
Phone: (814) 688-0426
Updated
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)

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.