MEDICARE: HERON ROCK SURGERY CENTER OF LANCASTER

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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1023875887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERON ROCK SURGERY CENTER OF LANCASTER

Provider Business Mailing Address
First Line	:	606 COMMUNITY WAY
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2329
Country	:	US
Telephone Number	:	717-856-2849
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 COMMUNITY WAY
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2329
Country	:	US
Telephone Number	:	717-856-2849
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER AND CEO
Name	:	KENNETH MORGENSTERN
Credential	:	MD
Telephone Number	:	610-687-8771

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	11/18/2024

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