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SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1588610190


NPI Information

NPI: 1588610190
Provider Name: SUMMIT AMBULATORY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2005123

Address:
1838 GREENE TREE RD
SUITE 450
BALTIMORE, MD
ZIP 21208
Phone: (410) 581-1600
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SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Baltimore, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1588610190. The provider is registered as an organization entity type.

The provider's business location address is:

1838 GREENE TREE RD
SUITE 450
BALTIMORE, MD
ZIP 21208-391
Phone: (410) 581-1600
Fax: (410) 581-1603

The provider's authorized official is Sara Bressman .
The authorized official title is Officer/authorized Official and has the following contact phone number (402) 779-6135.

The CLIA number assigned to this NPI record is 21D2005123 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 2/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1800906600MEDICAIDMARYLAND

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

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