Jev Surgery Center, Llc

LBN: Jev Surgery Center, Llc
Jev Surgery Center, Llc is an health care organization with primary practice located at 4 Park Center Court Suite 100, Owings Mills MD 21117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Jev Surgery Center, Llc can be contacted via phone (410) 484-8864, or through Houssock, Carrie A via phone (410) 484-8860.

Contact Information

Primary practice address
4 Park Center Court Suite 100 Owings Mills MD 21117
Phone: (410) 484-8864
Fax: (410) 484-2566
Website:
Map and Directions
Authorized official contact:
Name: Houssock, Carrie A Doctor of Medicine (MD)
Phone: (410) 484-8860

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1154951945
LBN Legal business name Jev Surgery Center, Llc
DBA Doing business as
Authorized official Houssock, Carrie A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2020
Last updated Jan 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154951945 NPPES
Maryland MEDICAID 21C-6000123

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