Organization Active NPI

Childrens Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
National Provider Identifier
1619284536
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHILDRENS SURGERY CENTER, LLC
Practice address
2160 Noll Dr
Lancaster, PA 17603-7603
Phone
(161) 047-0868
NPI assigned
Sep 13, 2010
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Edmondson
Title
Director
Phone
(629) 666-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2160 Noll Dr
Lancaster, PA 17603-7603

Mailing address

1801 W End Ave Ste 530
Nashville, TN 37203-2515

Other identifiers 1

IdentifierTypeStateIssuer
1025657840001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000316 PA Part B Supplier - Ambulatory Surgical Center 0143401935 Practice locations: Lancaster, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619284536. Details of each certification follow.

Ambulatory surgical center certification: CCN 39C0001286

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHILDREN'S SURGERY CENTER LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Mar 18, 2011
Last certification
Nov 23, 2021
Ownership / control type
Proprietary
Facility address
2160 Noll Drive Suite 300
Lancaster, PA 17603

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2160 Noll Dr
Lancaster, PA 17603
Phone (717) 392-4327

2160 Noll Dr
Ste 300
Lancaster, PA 17603
Phone (717) 481-4828

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1619284536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W END AVE STE 530",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 NOLL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037603",
            "telephone_number": "161-047-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "629-666-8612"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025657840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.