Provider Demographics
NPI:1689039117
Name:NORTH POINTE SUGERY CENTER LP
Entity Type:Organization
Organization Name:NORTH POINTE SUGERY CENTER LP
Other - Org Name:NORTH POINTE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
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 RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7480
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:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH POINE SURGERY CENTER LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA24451501261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical