ASC DEVELOPMENT COMPANY LLC NPI 1407004534

NPI Information

NPI: 1407004534
Provider Name: ASC DEVELOPMENT COMPANY, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7120 MINSTREL WAY
SUITE 106
COLUMBIA, MD
ZIP 21045
Phone: (410) 290-9191
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ASC DEVELOPMENT COMPANY, LLC is an ambulatory surgical clinic center in Columbia, MD. ASC DEVELOPMENT COMPANY, LLC NPI is 1407004534. The provider is registered as an organization entity type.

The provider's business location address is:

7120 MINSTREL WAY
SUITE 106
COLUMBIA, MD
ZIP 21045-248
Phone: (410) 290-9191
Fax: (410) 290-7330

The provider's authorized official is Richard J Brouillette .
The authorized official title is Regional Medical Director and has the following contact phone number (410) 290-9191.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 4/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	589	OTHER	MARYLAND	BLUE CROSS
2	89379501	OTHER	MARYLAND	BLUE CROSS REGIONAL PLAN
3	P00381350	OTHER	MARYLAND	RAILROAD 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

NPI Synchronization or Removal

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