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Evangelical Ambulatory Surgical Center, LLC

Ambulatory Surgical Clinic/Center in Lewisburg, PA · enumerated 2005 · authorized official William Maloney, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134114119

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Registry record

Entity type Organization (Type 2)
Legal business name Evangelical Ambulatory Surgical Center, LLC
Practice address 210 Jpm Rd, Lewisburg, PA, 17837
Fax (570) 524-6710
Enumeration date Sep 15, 2005
Last updated in NPPES Apr 22, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 14631501 (PA) Primary

Authorized official

Name William Maloney
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
1007755680001 Medicaid PA -
20025739 Other PA AMERIHEALTH PROVIDER NUMB
39C0001119 Other PA STERLING OPTION I
79197 Other PA GEISINGER HEALTH PLAN
0167726 Other PA DEPARTMENT OF LABOR PROV#
155458XX Other PA PREFERRED CARE
151805 Other PA HEALTH AMERICA PROV#
390839 Other PA CAPITAL BLUE CROSS
1599 Other PA HIGHMARK BLUESHIELD
490005320 Other PA RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-22. Verify at npiregistry.cms.hhs.gov.
Where is Evangelical Ambulatory Surgical Center, LLC located?
The practice location on file with NPPES is in Lewisburg, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.