Provider Demographics
NPI:1689986879
Name:DEER POINTE SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:DEER POINTE SURGICAL CENTER, LLC
Other - Org Name:POA SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:HIMMLER
Authorized Official - Last Name:BAYLINE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:410-341-9002
Mailing Address - Street 1:641 S SALISBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5429
Mailing Address - Country:US
Mailing Address - Phone:410-341-9002
Mailing Address - Fax:410-341-9006
Practice Address - Street 1:641 S SALISBURY BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5429
Practice Address - Country:US
Practice Address - Phone:410-341-9002
Practice Address - Fax:410-341-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical