# GREATER ERIE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1326298423
- **Authorized official:** MRS. KRISTIE M KISIEL BSN, RN, CNOR (ADMINISTRATOR/DIRECTOR OF NURSING)
- **Authorized official phone:** (814) 790-5636

## Contact information

- **Practice address:** 2374 VILLAGE COMMON DR, SUITE 200, ERIE, PA 16506-7201
- **Practice address phone:** (814) 790-5636
- **Practice address fax:** (814) 790-5654
- **Mailing address:** 2374 VILLAGE COMMON DR, SUITE 200, ERIE, PA 16506-7201
- **Mailing address phone:** (814) 790-5636
- **Mailing address fax:** (814) 790-5654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 21811501 | PA | Yes |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 07/21/2022
