Organization Active NPI

Mahoning Valley Ambulatory Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Tamaqua, PA
National Provider Identifier
1922193515
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MAHONING VALLEY AMBULATORY SURGERY CENTER INC
Practice address
37 Medical Crossing Rd
Tamaqua, PA 18252-5565
Phone
(570) 386-5926
Fax
(570) 386-2959
NPI assigned
Oct 3, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Rebecca Lee Easterday, BSN, RN
Title
Practice Manager
Phone
(570) 386-5926

Specialties & licenses 1

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

Addresses

Primary practice location

37 Medical Crossing Rd
Tamaqua, PA 18252-5565

Mailing address

37 Medical Crossing Rd
Tamaqua, PA 18252-5565
Phone (570) 386-5926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060217000086 PA Part B Supplier - Ambulatory Surgical Center 8022023738 Practice locations: Tamaqua, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mahoning Valley Ambulatory Surgery Center IncCCN 39C0001124
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0997494Mahoning Valley Ambulatory Surgery Ctr37 Medical Crossing Road, Tamaqua, PA 18252Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1922193515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEDICAL CROSSING RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525565",
            "telephone_number": "570-386-5926",
            "fax_number": "570-386-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEDICAL CROSSING RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525565",
            "telephone_number": "570-386-5926",
            "fax_number": "570-386-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "EASTERDAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-386-5926",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.