# HERSHEY ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1710985445
- **Authorized official:** MRS. MARILEE D BALL MHA, RN, CGRN (MANAGER)
- **Authorized official phone:** (717) 531-1318

## Contact information

- **Practice address:** 905 W GOVERNOR RD, SUITE 100, HERSHEY, PA 17033-2307
- **Practice address phone:** (717) 531-1318
- **Practice address fax:** (717) 531-0356
- **Mailing address:** 905 W GOVERNOR RD, SUITE 100, HERSHEY, PA 17033-2307
- **Mailing address phone:** (717) 531-1318
- **Mailing address fax:** (717) 531-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 17201501 | PA | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 09/28/2007
