Healthcare Provider Details

I. General information

NPI: 1215227194
Provider Name (Legal Business Name): SOUTH HILLS SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 CLAIRTON RD
WEST MIFFLIN PA
15122-2475
US

IV. Provider business mailing address

6161 CLAIRTON RD
WEST MIFFLIN PA
15122-2475
US

V. Phone/Fax

Practice location:
  • Phone: 412-714-4951
  • Fax:
Mailing address:
  • Phone: 412-714-4951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY HONKALA
Title or Position: CEO
Credential: M.D.
Phone: 412-714-4951