PEMBROOKE SQUARE SURGERY CENTER, LLC – NPI #1912993700
Clinic/Center
PEMBROOKE SQUARE SURGERY CENTER, LLC is an AHC clinic located in WALDORF, MD. NPPES has assigned the NPI number 1912993700 to PEMBROOKE SQUARE SURGERY CENTER, LLC on September 27, 2005. 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 17 years ago on Nov 18, 2009. 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 PEMBROOKE SQUARE SURGERY CENTER, LLC below.
NPI Profile for
PEMBROOKE SQUARE SURGERY CENTER, LLC
(more than 20 years ago)
WALDORF, MD 20603-4842 Phone: (301) 396-8492 Fax: (301) 396-8498
BUSINESS OFFICE MANAGER
Phone: (301) 396-8492
Identifiers for PEMBROOKE SQUARE SURGERY CENTER, LLC
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.
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 | A1407 |
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.