Provider Demographics
NPI:1154805646
Name:ANNE ARUNDEL-SCA SURGICENTER, LLC
Entity type:Organization
Organization Name:ANNE ARUNDEL-SCA SURGICENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
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 1:904 COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2948
Mailing Address - Country:US
Mailing Address - Phone:410-849-6140
Mailing Address - Fax:
Practice Address - Street 1:904 COMMERCE RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2948
Practice Address - Country:US
Practice Address - Phone:240-691-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE ARUNDEL-SCA SURGICENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-20
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical