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MONOCACY SURGERY CENTER LLC NPI 1821421256


NPI Information

NPI: 1821421256
Provider Name: MONOCACY SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2068657

Address:
4991 NEW DESIGN RD
FREDERICK, MD
ZIP 21703
Phone: (301) 363-5858
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MONOCACY SURGERY CENTER LLC is an ambulatory surgical clinic center in Frederick, MD. MONOCACY SURGERY CENTER LLC NPI is 1821421256. The provider is registered as an organization entity type.

The provider's business location address is:

4991 NEW DESIGN RD
FREDERICK, MD
ZIP 21703-113
Phone: (301) 363-5858
Fax: (301) 363-5858

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 21D2068657 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2013 and was last updated on 4/16/2023.


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

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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