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PARKWAY SURGERY CENTER LLC NPI 1821036534


NPI Information

NPI: 1821036534
Provider Name: PARKWAY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D1054041

Address:
17 WESTERN MARYLAND PKWY
SUITE 102
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 420-0192
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PARKWAY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Hagerstown, MD. PARKWAY SURGERY CENTER, LLC NPI is 1821036534. The provider is registered as an organization entity type.

The provider's business location address is:

17 WESTERN MARYLAND PKWY
SUITE 102
HAGERSTOWN, MD
ZIP 21740-146
Phone: (240) 420-0192
Fax: (240) 420-0197

The provider's authorized official is Jodi Harris .
The authorized official title is Ceo and has the following contact phone number (240) 420-0192.

The CLIA number assigned to this NPI record is 21D1054041 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 12/26/2023.


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 SurgicalAPPLICATION PENDINGMARYLANDYes

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
11821036534OTHERMARYLANDNPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.