Provider Demographics
NPI:1366647968
Name:NORTH POINTE SURGERY CENTER, LP
Entity Type:Organization
Organization Name:NORTH POINTE SURGERY CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEIK
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, RN
Authorized Official - Phone:717-517-5032
Mailing Address - Street 1:1701 CORNWALL ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-277-7009
Mailing Address - Fax:
Practice Address - Street 1:170 NORTH POINTE BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-735-6650
Practice Address - Fax:717-735-6651
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH POINTE SURGERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-15
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical