Pembrooke Square Surgery Center, Llc in Waldorf - Ambulatory Surgical
Pembrooke Square Surgery Center, Llc - NPI 1912993700
Pembrooke Square Surgery Center, Llc is a Ambulatory Surgical in Waldorf, Maryland. Pembrooke Square Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Pembrooke Square Surgery Center, Llc is 1912993700. The last update date is 2009-11-18.
Pembrooke Square Surgery Center, Llc's current location address is 11370 Pembrooke Sq, Waldorf, Maryland. You can contact this provider via phone number 3013968492 and fax number 3013968498. The mailing address for Pembrooke Square Surgery Center, Llc is 11370 Pembrooke Sq, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pembrooke Square Surgery Center, Llc |
|---|---|
| Address | 11370 Pembrooke Sq, Waldorf, Maryland |
| Phone Number | 3013968492 |
| Fax Number | 3013968498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Conley F Lisa |
| Credentials | CPC-H |
| Telephone Number | 3013968492 |
NPI Number Detail
| NPI Number | 1912993700 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2009-11-18 |
Provider Mailing Address Detail
| Address | 11370 Pembrooke Sq |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206034842 |
| Phone Number | 3013968492 |
| Fax Number | 3013968498 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | A1407 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3771631 | AETNA HMO | ||
| 407056900 | MD | -- | |
| 64470501 | MD | BCBS OF MD | |
| 7862630 | AETNA PPO | ||
| RT6 | DC | BCBS NATIONAL CAP AREA |
Post Comment/ Review Below
What is the Pembrooke Square Surgery Center, Llc's unique identification number?
The Pembrooke Square Surgery Center, Llc has been assigned the NPI (National Provider Identifier) Number 1912993700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Pembrooke Square Surgery Center, Llc is physically located?
The Pembrooke Square Surgery Center, Llc is physically situated at the following address: 11370 Pembrooke Sq, Waldorf, MD, 206034842.
What is Pembrooke Square Surgery Center, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pembrooke Square Surgery Center, Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the Pembrooke Square Surgery Center, Llc receive the assignment of its 1912993700 from the Centers for Medicare & Medicaid Services?
The Pembrooke Square Surgery Center, Llc was issued its 1912993700 by the Centers for Medicare & Medicaid Services on 2005-09-27.
When was the information regarding Pembrooke Square Surgery Center, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pembrooke Square Surgery Center, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-18.