# GATEWAY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1871804815
- **Authorized official:** MR. JONATHAN BAILEY (OFFICER/AO)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 494 NORTHAMPTON ST, SUITE 2, EDWARDSVILLE, PA 18704-4551
- **Practice address phone:** (570) 718-6692
- **Practice address fax:** (570) 718-6696
- **Mailing address:** 494 NORTHAMPTON ST STE 2, EDWARDSVILLE, PA 18704-4551

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2010
- **Last updated:** 09/12/2025