Organization
ALLEGHENY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DRASS MD (MEDICAL DIRECTOR)
(814) 940-2000
Entity
Organization
Contact information
Practice address
1402 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2000
Mailing address
PO BOX 8000, DEPT 248, BUFFALO, NY 14267-0002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291
BC BS
PA
05
—
1012671240001
—
PA
01
—
1544708
GATEWAY
PA
01
—
357153
ADVANTRA FREEDOM
PA
01
—
611082700
OWCP
PA
01
—
6653134
CIGNA
PA
01
—
708607
UPMC
PA
01
—
P00219215
RAILROAD MEDICARE
PA
Enumeration date
08/07/2006
Last updated
08/21/2009
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