Organization
SCAC LLC
Active
Other names
Surgery Center at Cranberry
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARK CHRISTIE MD (OWNER/PHYSICIAN)
(724) 772-1766
Entity
Organization
Contact information
Practice address
105 BRANDT DRIVE, SUITE 101, CRANBERRY TWP, PA 16066
(724) 772-1766
(724) 772-5947
Mailing address
105 BRANDT DRIVE, SUITE 101, CRANBERRY TWP, PA 16066
(724) 772-1766
(724) 772-5947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16591501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100887180
—
PA
01
—
153357
MEDPLUS
—
01
—
2088
HIGHMARK BLUECROSS BS
PA
01
—
275001
HEALTH AMERICA
—
01
—
3449654
AETNA HMO
—
01
—
7222631
CIGNA
—
01
—
7571524
AETNA PPO
—
01
—
P00073763
RAILROAD MEDICARE
—
Enumeration date
01/26/2006
Last updated
07/21/2020
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