Healthcare Provider Details

I. General information

NPI: 1871751859
Provider Name (Legal Business Name): WESTMINSTER SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 WASHINGTON RD
WESTMINSTER MD
21157-5750
US

IV. Provider business mailing address

826 WASHINGTON RD
WESTMINSTER MD
21157-5750
US

V. Phone/Fax

Practice location:
  • Phone: 410-571-9595
  • Fax: 410-571-9590
Mailing address:
  • Phone: 410-871-9440
  • Fax: 410-871-9441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateMD

VIII. Authorized Official

Name: JONATHAN BAILEY
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential: RN
Phone: 203-609-1168