Wyomissing Surgical Services Inc.

LBN: Wyomissing Surgical Services Inc.
Wyomissing Surgical Services Inc. is an health care organization with primary practice located at 1235 Penn Ave Suite 100, Wyomissing PA 19610-2100. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Wyomissing Surgical Services Inc. can be contacted via phone (610) 373-3715, or through Bundy, Jason Thomas via phone (610) 373-3715.

Contact Information

Primary practice address
1235 Penn Ave Suite 100 Wyomissing PA 19610-2100
Fax: (610) 373-3164
Website:
Authorized official contact:
Name: Bundy, Jason Thomas Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 16691501 Pennsylvania

Profile Details

NPI number 1568469328
LBN Legal business name Wyomissing Surgical Services Inc.
DBA Doing business as
Authorized official Bundy, Jason Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 27th, 2016 - about 8 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 1568469328 NPPES
Pennsylvania Other 2072 INDEPENDENCE BLUE CROSS
Pennsylvania Other 390850 INDEPENDENCE BLUE CROSS
Pennsylvania Other 1869 INDEPENDENCE BLUE CROSS
Pennsylvania Other 104918000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 231648 INDEPENDENCE BLUE CROSS

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