GRANT SURGICENTER LLC NPI 1194027920

NPI Information

NPI: 1194027920
Provider Name: GRANT SURGICENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D2017380

Address:
2000 GRANT AVE
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 992-6000
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GRANT SURGICENTER LLC is an ambulatory surgical clinic center in Philadelphia, PA. GRANT SURGICENTER LLC NPI is 1194027920. The provider is registered as an organization entity type.

The provider's business location address is:

2000 GRANT AVE
PHILADELPHIA, PA
ZIP 19115-287
Phone: (215) 992-6000
Fax: (215) 992-6001

The provider's authorized official is Alexander Zonshayn .
The authorized official title is Member and has the following contact phone number (215) 992-6000.

The CLIA number assigned to this NPI record is 39D2017380 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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