ELLICOTT CITY AMBULATORY SURGERY CENTER – NPI #1114025608
Clinic/Center

ELLICOTT CITY AMBULATORY SURGERY CENTER is an AHC clinic located in ELLICOTT CITY, MD. NPPES has assigned the NPI number 1114025608 to ELLICOTT CITY AMBULATORY SURGERY CENTER on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLICOTT CITY AMBULATORY SURGERY CENTER” is a dba name, the actual legal business name for this organization is ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Jun 11, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLICOTT CITY AMBULATORY SURGERY CENTER below.

NPI Profile for
ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP

NPI Number
1114025608
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
Doing Business As (dba): ELLICOTT CITY AMBULATORY SURGERY CENTER
Primary location
2850 NORTH RIDGE ROAD
ELLICOTT CITY, MD 21043
Phone: (410) 461-1600 Fax: (410) 750-7615
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAUREEN HARTLEY
ADMINISTRATOR
Phone: (410) 461-1600
Updated
Identifiers

Identifiers for ELLICOTT CITY AMBULATORY SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD410706300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MD A1003R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.