# PENN STATE HERSHEY ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073816690
- **Authorized official:** DR. JOEL HAIGHT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (814) 272-4481

## Contact information

- **Practice address:** 32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
- **Practice address phone:** (814) 272-4481
- **Practice address fax:** (814) 272-4470
- **Mailing address:** 32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
- **Mailing address phone:** (814) 272-4481
- **Mailing address fax:** (814) 272-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2287I501 | PA | Yes |

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 09/08/2011