Provider Demographics
NPI:1134431323
Name:BETHESDA CHEVY CHASE SURGERY CENTER, LLC
Entity type:Organization
Organization Name:BETHESDA CHEVY CHASE SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-609-1168
Mailing Address - Street 1:6931 ARLINGTON RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5231
Mailing Address - Country:US
Mailing Address - Phone:301-968-3184
Mailing Address - Fax:301-968-3191
Practice Address - Street 1:6931 ARLINGTON RD
Practice Address - Street 2:SUITE E
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5231
Practice Address - Country:US
Practice Address - Phone:301-968-3184
Practice Address - Fax:301-968-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical