Organization
REGIONAL AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K.C. JOSEPH M.D. (PRESIDENT/CEO)
(814) 781-6565
Entity
Organization
Contact information
Practice address
1376 BUCKTAIL RD, ST MARYS, PA 15857-3212
(814) 781-6565
(814) 781-1985
Mailing address
1376 BUCKTAIL RD, ST MARYS, PA 15857-3212
(814) 781-6565
(814) 781-1985
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15531501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018966270001
—
PA
Enumeration date
10/20/2005
Last updated
08/22/2020
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