Provider Demographics
NPI:1801892724
Name:APPLE HILL SURGICAL CENTER PARTNERS
Entity type:Organization
Organization Name:APPLE HILL SURGICAL CENTER PARTNERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-851-3464
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:STE 270
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5073
Practice Address - Country:US
Practice Address - Phone:717-741-8250
Practice Address - Fax:717-741-8289
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPLE HILL SURGICAL CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-24
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 261QE0800X
PA01421500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011328910002Medicaid
PA390703OtherCAPITAL BLUE CROSS
PA0011328910002Medicaid
PA848OtherHEALTHAMERICA/HEALTHASSUR
PA1567OtherHIGHMARK BLUE CROSS
PA390703OtherCAPITAL BLUE CROSS
PA390703OtherCAPITAL BLUE CROSS
PA0011328910002Medicaid