Liberty Surgical Center

LBN: Liberty Eye Surgical Center
Liberty Surgical Center is an health care organization with primary practice located at 9122 Blue Grass Rd , Philadelphia PA 19114-3202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Liberty Eye Surgical Center can be contacted via phone (215) 673-9231, or through Quinn, Edward Michael via phone (215) 673-9231.

Contact Information

Primary practice address
9122 Blue Grass Rd Philadelphia PA 19114-3202
Phone: (215) 673-9231
Fax: (215) 673-9236
Website:
Map and Directions
Authorized official contact:
Name: Quinn, Edward Michael
Phone: (215) 673-9231

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 17401501 Pennsylvania

Profile Details

NPI number 1649325713
LBN Legal business name Liberty Eye Surgical Center
DBA Doing business as Liberty Surgical Center
Authorized official Quinn, Edward Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649325713 NPPES
Pennsylvania MEDICAID 1009642060001

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