RIVERTOWNE SURGERY CENTER LLC NPI 1508868571

NPI Information

  • NPI: 1508868571
  • Provider Name: RIVERTOWNE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 21D0961108
  • Address: 6196 OXON HILL RD
    SUITE 650
    OXON HILL, MD
    ZIP 20745
  • Phone: (301) 839-7497

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NPI Details

RIVERTOWNE SURGERY CENTER LLC is an ambulatory surgical clinic center in Oxon Hill, MD. RIVERTOWNE SURGERY CENTER LLC NPI is 1508868571. The provider is registered as an organization entity type.

The provider's business location address is:

6196 OXON HILL RD
SUITE 650
OXON HILL, MD
ZIP 20745-100
Phone: (301) 839-7497
Fax: (301) 839-8726

The provider's authorized official is Jan Haffley .
The authorized official title is Administrator and has the following contact phone number (310) 258-2400.

The CLIA number assigned to this NPI record is 21D0961108 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 8/22/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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