Healthcare Provider Details

I. General information

NPI: 1700040417
Provider Name (Legal Business Name): MT PLEASANT SURGERY CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BESSEMER RD
MOUNT PLEASANT PA
15666-9132
US

IV. Provider business mailing address

200 BESSEMER RD
MOUNT PLEASANT PA
15666-9132
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-5432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY WOOD
Title or Position: DIRECTOR
Credential:
Phone: 828-236-3027