Provider Demographics
NPI:1225531544
Name:ANNE ARUNDEL-SCA SURGICENTER, LLC
Entity Type:Organization
Organization Name:ANNE ARUNDEL-SCA SURGICENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-270-8989
Mailing Address - Street 1:8109 RITCHIE HWY STE 250
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-6917
Mailing Address - Country:US
Mailing Address - Phone:443-270-8989
Mailing Address - Fax:
Practice Address - Street 1:8109 RITCHIE HWY STE 250
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122
Practice Address - Country:US
Practice Address - Phone:717-418-9091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical