Provider Demographics
NPI:1851342430
Name:BEL AIR AMBULATORY SURGICAL CENTER ,L.L.C.
Entity Type:Organization
Organization Name:BEL AIR AMBULATORY SURGICAL CENTER ,L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-879-4879
Mailing Address - Street 1:2007 ROCK SPRING RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2620
Mailing Address - Country:US
Mailing Address - Phone:410-879-2474
Mailing Address - Fax:410-879-8194
Practice Address - Street 1:2007 ROCK SPRING RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2620
Practice Address - Country:US
Practice Address - Phone:410-879-2474
Practice Address - Fax:410-879-8194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1078261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDZZ41Medicare PIN