# HAZLETON SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazleton Surgery Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851406821
- **Authorized official:** JONATHAN BAILEY (OFFICER, MEDICARE AUTHORIZED OFFICI)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
- **Practice address phone:** (570) 501-6500
- **Mailing address:** 50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
- **Mailing address phone:** (570) 501-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/09/2024