Organization
ASC DEVELOPMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
1600 CRAIN HWY S, SUITE 301, GLEN BURNIE, MD 21061-5577
(410) 787-8315
(410) 787-8316
Mailing address
PO BOX 931606, ATLANTA, GA 31193-1606
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN932
RAILROAD MEDICARE
MD
01
—
L7
BLUE CROSS
MD
01
—
P00081013
RAILROAD MEDICARE
MD
01
—
RM6
BLUE CROSS REGIONAL PLAN
MD
Enumeration date
09/03/2008
Last updated
12/08/2025
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