Organization
HARRISBURG ENDOSCOPY & SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RHOADES CASC (COO)
(717) 545-8525
Entity
Organization
Contact information
Practice address
4760 UNION DEPOSIT RD, SUITE 110, HARRISBURG, PA 17111-3729
(717) 545-8525
(717) 545-7388
Mailing address
4760 UNION DEPOSIT RD, SUITE 110, HARRISBURG, PA 17111-3729
(717) 545-8525
(717) 545-7388
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11431500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001847195002
—
PA
01
—
11431500
STATE ASF LICENSE #
PA
Enumeration date
05/08/2006
Last updated
10/13/2010
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