NPIMap

Organization Active NPI

Surgicenter at Ligonier

  • Ambulatory Surgical Clinic/Center
  • Ligonier, PA
National Provider Identifier
1629095195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF 6340 Issued in PA
Legal business name
SURGICENTER AT LIGONIER
Practice address
221 W Main St
Ligonier, PA 15658
Phone
(724) 238-9573
Fax
(724) 832-4468
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey T Curry
Title
Executive Vice President Cfo
Phone
(724) 832-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF 6340 PA Primary

Addresses

Primary practice location

221 W Main St
Ligonier, PA 15658

Mailing address

PO Box 1100
Latrobe, PA 15650-5011
Phone (724) 238-9573

Other identifiers 2

IdentifierTypeStateIssuer
0013953640001MedicaidPA
0170OtherHIGHMARK BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629095195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505011",
            "telephone_number": "724-238-9573",
            "fax_number": "724-832-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "15658",
            "telephone_number": "724-238-9573",
            "fax_number": "724-832-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER AT LIGONIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "724-832-4030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "ASF 6340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013953640001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "0170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.