CERTIFIED AMBULATORY SURGERY CENTER NPI 1588665665

NPI Information

NPI: 1588665665
Provider Name: CERTIFIED AMBULATORY SURGERY CENTER

Other Name: CASC

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

Specialization: Ambulatory Surgical

Address:
9715 MEDICAL CENTER DR
535
ROCKVILLE, MD
ZIP 20850
Phone: (301) 294-9400
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CERTIFIED AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Rockville, MD. CERTIFIED AMBULATORY SURGERY CENTER NPI is 1588665665. The provider is registered as an organization entity type.
The provider Other Name Is Casc.

The provider's business location address is:

9715 MEDICAL CENTER DR
535
ROCKVILLE, MD
ZIP 20850-320
Phone: (301) 294-9400
Fax: (301) 294-0149

The provider's authorized official is Lance G Leithause .
The authorized official title is President and has the following contact phone number (301) 294-9400.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 3/3/2011.

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	A1225	MARYLAND	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	251543	OTHER	MARYLAND	MAMSI
2	1681001 00	MEDICAID	MARYLAND
3	0962486	OTHER	MARYLAND	AETNA
4	CE312734	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
5	08820	OTHER	MARYLAND	AMERIGROUP
6	58426801	OTHER	MARYLAND	CF BC/BS MD
7	ND9	OTHER	MARYLAND	CF BC/BS NCA

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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