Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Parent organization
SHRINERS HOSPITALS FOR CHILDREN
Other names
Shriners Hospitals for Children - Erie Ambulatory Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8700
(814) 875-8756
Mailing address
PO BOX 8500, LOXBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
09/20/2019
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