Provider Demographics
NPI:1194239996
Name:VSA SURGERY CENTER OF LUTHERVILLE LLC
Entity type:Organization
Organization Name:VSA SURGERY CENTER OF LUTHERVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-879-2006
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4375
Mailing Address - Country:US
Mailing Address - Phone:410-879-2006
Mailing Address - Fax:410-420-4014
Practice Address - Street 1:1840 YORK RD STE E-F
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5121
Practice Address - Country:US
Practice Address - Phone:855-648-9982
Practice Address - Fax:443-371-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty