1285012740 NPI number — HAMILTON SURGICAL INSTITUTE, INC.

Table of content: (NPI 1285012740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285012740 NPI number — HAMILTON SURGICAL INSTITUTE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMILTON SURGICAL INSTITUTE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285012740
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5201 HAMILTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18106-9113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-530-4444
Provider Business Mailing Address Fax Number:
610-395-3218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5201 HAMILTON BLVD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-395-3659
Provider Business Practice Location Address Fax Number:
610-395-3218
Provider Enumeration Date:
05/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
FEINSILBER
Authorized Official First Name:
LORI
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
610-530-4444

Provider Taxonomy Codes

  • Taxonomy code: 261QS0132X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1030939820001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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