# SHRINERS HOSPITALS FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHRINERS HOSPITALS FOR CHILDREN
- **Other names:** Shriners Hospitals for Children - Erie Ambulatory Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528335148
- **Legal business name:** SHRINERS HOSPITALS FOR CHILDREN
- **Authorized official:** JERRY G. GANTT (PRESIDENT)
- **Authorized official phone:** (813) 281-0300

## Contact information

- **Practice address:** 1645 W 8TH ST, ERIE, PA 16505-5007
- **Practice address phone:** (814) 875-8700
- **Practice address fax:** (814) 875-8756
- **Mailing address:** PO BOX 8500, LOXBOX \#7642, PHILADELPHIA, PA 19178-7642
- **Mailing address phone:** (813) 281-8478
- **Mailing address fax:** (813) 281-8113

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 09/20/2019