MEDICARE: HEALTHQARE SERVICES ASC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1336649714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHQARE SERVICES ASC LLC

Provider Business Mailing Address
First Line	:	PO BOX 412753
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2753
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 200
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5792
Country	:	US
Telephone Number	:	571-500-8451
Fax Number	:	571-526-1843

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. GREGG ARTHUR MILLER
Credential	:	MD
Telephone Number	:	717-515-4048

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	06/09/2026

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Directions to “HEALTHQARE SERVICES ASC LLC ” Practice Location

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