VALLEYGATE SURGERY CENTER OF NE PA LLC NPI 1538032743

NPI Information

  • NPI: 1538032743
  • Provider Name: VALLEYGATE SURGERY CENTER OF NE PA LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 423 3RD AVE STE D
    KINGSTON, PA
    ZIP 18704
  • Phone: (337) 356-7044

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NPI Details

VALLEYGATE SURGERY CENTER OF NE PA LLC is an ambulatory surgical clinic center in Kingston, PA. VALLEYGATE SURGERY CENTER OF NE PA LLC NPI is 1538032743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

423 3RD AVE STE D
KINGSTON, PA
ZIP 18704-809
Phone: (337) 356-7044

The provider's authorized official is Erica Kennerson .
The authorized official title is Director Of Strategic Development and has the following contact phone number (337) 356-7044.

The enumeration date for this NPI number is 9/24/2025 and was last updated on 9/24/2025.

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
1207LP3000XAnesthesiologyPediatric AnesthesiologyNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
3261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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