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Organization

SURGICENTER AT LIGONIER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY T CURRY (EXECUTIVE VICE PRESIDENT CFO)
(724) 832-4030
Entity
Organization

Contact information

Practice address
221 W MAIN ST, LIGONIER, PA 15658
(724) 238-9573
(724) 832-4468
Mailing address
PO BOX 1100, LATROBE, PA 15650-5011
(724) 238-9573
(724) 832-4468

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF 6340
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013953640001
PA
01
0170
HIGHMARK BCBS
Enumeration date
07/17/2006
Last updated
08/22/2020
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