ANTIETAM UROSURGICAL CENTER LLC ASC – NPI #1437106846
Clinic/Center

ANTIETAM UROSURGICAL CENTER LLC ASC is an AHC clinic located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1437106846 to ANTIETAM UROSURGICAL CENTER LLC ASC on May 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 10 years ago on Mar 22, 2016. 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 ANTIETAM UROSURGICAL CENTER LLC ASC below.

NPI Profile for
ANTIETAM UROSURGICAL CENTER LLC ASC

NPI Number
1437106846
Enumeration Date

(more than 20 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
ANTIETAM UROSURGICAL CENTER LLC ASC
Primary location
11110 MEDICAL CAMPUS RD
SUITE 228
HAGERSTOWN, MD 21742-6700
Phone: (301) 733-0022 Fax: (301) 733-3461
Mailing address
PO BOX 37768
BALTIMORE, MD 21297-3768
Phone: (301) 733-0022 Fax: (301) 733-3461
Organization Subpart
No
Authorized Official
DEBBIE KLAUKA
ADMINISTRATOR
Phone: (301) 665-4879
Updated
Identifiers

Identifiers for ANTIETAM UROSURGICAL CENTER LLC ASC

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
OTHERCCN21C0001224
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 A1224

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.