COLLEGE PARK SURGERY CENTER, LLC – NPI #1962711614
Clinic/Center

COLLEGE PARK SURGERY CENTER, LLC is an AHC clinic located in GLENN DALE, MD. NPPES has assigned the NPI number 1962711614 to COLLEGE PARK SURGERY CENTER, LLC on September 29, 2010. 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

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 COLLEGE PARK SURGERY CENTER, LLC below.

NPI Profile for
COLLEGE PARK SURGERY CENTER, LLC

NPI Number
1962711614
Enumeration Date

(more than 15 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
COLLEGE PARK SURGERY CENTER, LLC
Primary location
12200 ANNAPOLIS RD
SUITE 220
GLENN DALE, MD 20769-9182
Phone: (301) 699-2292 Fax: (301) 699-2293
Mailing address
7309 BALTIMORE AVE
SUITE 220
COLLEGE PARK, MD 20740-3200
Phone: (301) 699-2292 Fax: (301) 699-2293
Organization Subpart
No
Authorized Official
ALPHA BANKS
MEDICAL DIRECTOR
Phone: (301) 699-2292
Updated
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)
DC MD18563

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.