Provider Demographics
NPI:1831139955
Name:ABINGTON SURGICAL CENTER
Entity Type:Organization
Organization Name:ABINGTON SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-443-8505
Mailing Address - Street 1:2701 BLAIR MILL RD
Mailing Address - Street 2:SUITE 35
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1041
Mailing Address - Country:US
Mailing Address - Phone:215-443-8505
Mailing Address - Fax:215-957-0565
Practice Address - Street 1:2701 BLAIR MILL RD
Practice Address - Street 2:SUITE 35
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1041
Practice Address - Country:US
Practice Address - Phone:215-443-8505
Practice Address - Fax:215-957-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27171500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001185142001Medicaid
PA0057427Medicare UPIN
PA391031Medicare ID - Type UnspecifiedMEDICARE
PA0001361000Medicare UPIN