Antietam Urosurgical Center Llc Asc

LBN: Antietam Urosurgical Center Llc Asc
Antietam Urosurgical Center Llc Asc is an health care organization with primary practice located at 11110 Medical Campus Rd Suite 228, Hagerstown MD 21742-6700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Antietam Urosurgical Center Llc Asc can be contacted via phone (301) 733-0022, or through Klauka, Debbie K via phone (301) 665-4879.

Contact Information

Primary practice address
11110 Medical Campus Rd Suite 228 Hagerstown MD 21742-6700
Phone: (301) 733-0022
Fax: (301) 733-3461
Website:
Map and Directions
Authorized official contact:
Name: Klauka, Debbie K MBA
Phone: (301) 665-4879

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X A1224 Maryland

Profile Details

NPI number 1437106846
LBN Legal business name Antietam Urosurgical Center Llc Asc
DBA Doing business as
Authorized official Klauka, Debbie K MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Mar 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437106846 NPPES
Other 21C0001224 CCN

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