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NPI Code Detail

MEDICARE: SLATE HILL SURGERY CENTER, LLC

MEDICARE: SLATE HILL SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1801582168
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLATE HILL SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 3399 TRINDLE RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-4407
Country : US
Telephone Number : 717-761-5530
Fax Number : 717-737-7197
Provider Business Practice Location Address
First Line : 3950 HARTZDALE DR
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-7828
Country : US
Telephone Number : 717-761-5530
Fax Number : 717-737-7197
Authorized Official
Title or Position : PRESIDENT
Name : DR. MATTHEW J KELLY
Credential : MD
Telephone Number : 717-761-5530
Provider Enumeration Date : 04/11/2023
Last Update Date : 11/16/2023

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Directions to “SLATE HILL SURGERY CENTER, LLC ” Practice Location

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