Organization
EYNON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. HOLST (PRESIDENT)
61534566900
Entity
Organization
Contact information
Practice address
681 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1022
(570) 876-5900
(570) 876-5300
Mailing address
401 COMMERCE ST, SUITE 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102268144 0001
—
PA
Enumeration date
07/11/2008
Last updated
04/06/2016
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