Organization Active NPI

Community Ambulatory Care Center (Cacc), LP

Doing business as Fairgrounds Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
National Provider Identifier
1902848260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
06331500 Issued in PA
Legal business name
COMMUNITY AMBULATORY CARE CENTER (CACC), LP
Doing business as
Fairgrounds Surgical Center
Practice address
400 N 17TH St
Ste 300
Allentown, PA 18104-5052
Phone
(610) 821-2020
Fax
(610) 821-2016
NPI assigned
Jun 12, 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
Mrs. Debi Baker
Title
Codirector
Phone
(610) 821-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 06331500 PA Primary

Addresses

Primary practice location

400 N 17TH St
Ste 300
Allentown, PA 18104-5052

Mailing address

400 N 17TH St
Ste 300
Allentown, PA 18104-5052
Phone (610) 821-2020

Other names 1

  • Fairgrounds Surgical Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902848260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST",
            "address_2": "STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045052",
            "telephone_number": "610-821-2020",
            "fax_number": "610-821-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST",
            "address_2": "STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045052",
            "telephone_number": "610-821-2020",
            "fax_number": "610-821-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AMBULATORY CARE CENTER (CACC), LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "CODIRECTOR",
        "authorized_official_telephone_number": "610-821-2015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "06331500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairgrounds Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, 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.