COLUMBIA MD ORTHOPAEDIC ASC LLC NPI 1649393695

NPI Information

COLUMBIA MD ORTHOPAEDIC ASC, LLC is an ambulatory surgical clinic center in Columbia, MD. COLUMBIA MD ORTHOPAEDIC ASC, LLC NPI is 1649393695. The provider is registered as an organization entity type.
The provider Is Doing Business As Hickory Ridge Surgery Center.

The provider's business location address is:

10700 CHARTER DR #301
COLUMBIA, MD
ZIP 21044-000
Phone: (410) 910-2301
Fax: (410) 910-2303

The provider's authorized official is Anthony D. Kling .
The authorized official title is Cfo and has the following contact phone number (301) 774-0501.

The CLIA number assigned to this NPI record is 21D1019521 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 12/2/2013.

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:

Other Identifiers

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