# SUSQUEHANNA SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1932155470
- **Authorized official:** MR. TY S WILLIAMS (ADMINISTRATOR)
- **Authorized official phone:** (570) 784-6070

## Contact information

- **Practice address:** 6850 LOWS ROAD, BLOOMSBURG, PA 17815
- **Practice address phone:** (570) 784-6070
- **Practice address fax:** (570) 784-8525
- **Mailing address:** 6850 LOWS ROAD, BLOOMSBURG, PA 17815
- **Mailing address phone:** (570) 784-6070
- **Mailing address fax:** (570) 784-8525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 14481501 | PA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020