ASC DEVELOPMENT COMPANY, LLC; NPI #1407004534

Contact Information

ASC DEVELOPMENT COMPANY, LLC

7120 MINSTREL WAY
SUITE 106
COLUMBIA, MD 21045-5248

Phone: 410-290-9191
Fax: 410-290-7330
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ASC DEVELOPMENT COMPANY, LLC

NPI # 1407004534

LBN Legal business name ASC DEVELOPMENT COMPANY, LLC

Authorized official RICHARD BROUILLETTE - (REGIONAL MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/03/2008

Last updated 06/02/2025 - More than a year ago

Identifiers

MD	Other	589	BLUE CROSS
MD	Other	89379501	BLUE CROSS REGIONAL PLAN
MD	Other	P00381350	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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