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FRIENDSHIP AMBULATORY SURGERY CENTER NPI 1215967351


NPI Information

NPI: 1215967351
Provider Name: FRIENDSHIP AMBULATORY SURGERY CENTER

Doing Business As: FRIENDSHIP AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D0917706

Address:
5550 FRIENDSHIP BLVD STE 270
CHEVY CHASE, MD
ZIP 20815
Phone: (301) 215-7347
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FRIENDSHIP AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Chevy Chase, MD. FRIENDSHIP AMBULATORY SURGERY CENTER NPI is 1215967351. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Ambulatory Surgery Center.

The provider's business location address is:

5550 FRIENDSHIP BLVD STE 270
CHEVY CHASE, MD
ZIP 20815-297
Phone: (301) 215-7347
Fax: (301) 715-7345

The provider's authorized official is Mary K Craddock .
The authorized official title is Medical Director and has the following contact phone number (301) 215-7347.

The CLIA number assigned to this NPI record is 21D0917706 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1131MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1225660OTHERALLIANCE
21490OTHERDISTRICT OF COLUMBIABC/BS OF DC
3225660OTHERMARYLANDMAMSI
4ZZ13FROTHERMARYLANDBC/BS NATIONAL ACCTS.
568-00013OTHEREVERCARE
6ZZ13FROTHERMARYLANDBC/BS NASCO ACCTS.
7ZZ13FROTHERMARYLANDMARYLAND BC/BS
8325991900MEDICAIDMARYLAND
91143770001OTHERPALMETTO GOVT. TRICARE
101490OTHERCAREFIRST BLUE CHOICE
11225660OTHERMARYLANDMDIPA, ALL MAMSI
12309483MEDICARE ID-TYPE UNSPECIFIEDPROVIDER NUMBER
13490002518OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.