Organization
ASSOCIATED SURGICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHN SCHULTZ SR. (PRESIDENT)
(570) 339-4001
Entity
Organization
Contact information
Practice address
31 E 5TH ST, MOUNT CARMEL, PA 17851-2179
(570) 339-4171
(570) 339-4955
Mailing address
31 E 5TH ST, MOUNT CARMEL, PA 17851-2179
(570) 339-4171
(570) 339-4955
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005628600002
—
PA
01
—
00282557
HIGHMARK BLUE SHIELD
PA
01
—
39HA16
CAPITAL BLUE CROSS
PA
Enumeration date
05/15/2006
Last updated
08/22/2020
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