Organization
SURGERY CENTER OF EASTON LP
Active
Other names
HealthSouth Surgery Center of Easton, L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY DAWN HARGROVE RN (ADMINISTRATOR)
(410) 820-4470
Entity
Organization
Contact information
Practice address
510 IDLEWILD AVE, SUITE 110, EASTON, MD 21601-3881
(410) 820-4470
Mailing address
510 IDLEWILD AVE, SUITE 110, EASTON, MD 21601-3824
(410) 820-4470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062Z
MEDICARE PTAN
MD
05
—
975500400
—
MD
Enumeration date
02/01/2006
Last updated
02/06/2025
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