Healthcare Provider Details

I. General information

NPI: 1134125719
Provider Name (Legal Business Name): SURGICAL CENTER OF YORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 5TH AVE FL 1
YORK PA
17403-2610
US

IV. Provider business mailing address

1750 5TH AVE FL 1
YORK PA
17403-2610
US

V. Phone/Fax

Practice location:
  • Phone: 717-843-7613
  • Fax: 717-849-5662
Mailing address:
  • Phone: 717-843-7613
  • Fax: 717-849-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number45681500
License Number StatePA

VIII. Authorized Official

Name: MS. SUSAN ELEANORE SNYDER
Title or Position: ADMINISTRATIVE SERVICES MANAGER
Credential:
Phone: 717-849-5676