Provider Demographics
NPI:1184106601
Name:PHYSICIANS CARE SURGICAL HOSPITAL LP
Entity type:Organization
Organization Name:PHYSICIANS CARE SURGICAL HOSPITAL LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-495-3332
Mailing Address - Street 1:454 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1200
Mailing Address - Country:US
Mailing Address - Phone:610-495-3330
Mailing Address - Fax:610-495-3331
Practice Address - Street 1:454 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1200
Practice Address - Country:US
Practice Address - Phone:610-495-3330
Practice Address - Fax:610-495-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty