MEDICARE: HARFORD COUNTY AMBULATORY SURGERY CENTER

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MV3	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1487695284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARFORD COUNTY AMBULATORY SURGERY CENTER

Provider Business Mailing Address
First Line	:	9601 PULASKI PARK DR STE 417
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-1409
Country	:	US
Telephone Number	:	410-933-5678
Fax Number	:	410-933-1823

Provider Business Practice Location Address
First Line	:	1952A PULASKI HWY
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-1617
Country	:	US
Telephone Number	:	410-538-7000
Fax Number	:	410-679-7825

Authorized Official
Title or Position	:	NURSE ADMINISTRATOR
Name	:	KIM MERRILL
Credential	:	RN BSN
Telephone Number	:	410-538-7000

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	05/21/2021

Similar Medicare Providers

1992724322 — DR. EDWARD JOSEPH ARRISON MD
Practice Location Address:

1952 PULASKI HWY # A
EDGEWOOD, MD
21040-1617

Practice Phone: 410-538-7000
Practice Fax: 410-679-7825

1629082391 — DR. PETER KEN KANG MD
Practice Location Address:

1952A PULASKI HWY
EDGEWOOD, MD
21040-1617

Practice Phone: 410-538-7000
Practice Fax: 410-679-7825

1811905011 — MS. MARY MARGARET CONNORS CRNA
Practice Location Address:

1952A PULASKI HWY
EDGEWOOD, MD
21040-1617

Practice Phone: 410-538-7000
Practice Fax: 410-679-7825

1821124215 — NOVA INTERVENTIONAL PAIN MANAGEMENT
Practice Location Address:

1952 PULASKI HWY , SUITE B
EDGEWOOD, MD
21040-1617

Practice Phone: 410-676-1463
Practice Fax: 410-676-0864

1215284674 — MS. DAYON ROCHELLE NELSON CRNP
Practice Location Address:

1952 PULASKI HWY
EDGEWOOD, MD
21040-1617

Practice Phone: 410-676-1463
Practice Fax:

1134569205 — MS-HC, LLC
Practice Location Address:

1952 PULASKI HWY
EDGEWOOD, MD
21040-1617

Practice Phone: 410-515-6785
Practice Fax: 410-515-6757

Directions to “HARFORD COUNTY AMBULATORY SURGERY CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.