SAINT VINCENT SURGERY CENTER OF ERIE
NPI 1124210687
Clinic/Center - Ambulatory Surgical in Erie, PA

Active since August 17, 2007CLIA 39D0980089 · Waiver
312 W 25TH ST, ERIE, PA 16502(814) 452-7010(814) 452-7059 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Saint Vincent Surgery Center Of Erie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT VINCENT SURGERY CENTER OF ERIE (NPI 1124210687) is a healthcare organization registered as an ambulatory surgical in Erie, Pennsylvania and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Thomas Elliott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124210687
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAINT VINCENT SURGERY CENTER OF ERIE
Location Address312 W 25TH STErie, PA 16502-2624
Mailing Address312 W 25th StErie, PA 16502-2624 · (814) 452-7010 · Fax (814) 452-7059
Fax(814) 452-7059
Organization SubpartNo
Authorized OfficialThomas ElliottCeo · (814) 452-7753
Enumeration DateAugust 17, 2007
NPI 1124210687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in PA · 4561500
312 W 25TH ST, Erie, PA 16502

Other Identifiers 1

Medicare PIN391021PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0980089

Saint Vincent Surgery Center Of Erie · Erie, PA
Active · expires Nov 12, 2026
CLIA Number39D0980089
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorNicole M. Verdecchia
Laboratory Phone(814) 452-7000
Laboratory LocationSaint Vincent Surgery Center Of Erie312 W 25th Street, Erie, PA 16502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
312 W 25TH ST
ERIE, PA 16502
Registered Nurse
312 W 25TH ST
ERIE, PA 16502
Nurse Anesthetist, Certified Registered
312 W 25TH ST
ERIE, PA 16502
Nurse Anesthetist, Certified Registered
312 W 25TH ST
ERIE, PA 16502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124210687, enumerated as an "organization" on August 17, 2007.

The provider is located at 312 W 25TH ST ERIE, PA 16502 and the phone number is (814) 452-7010.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.