Organization
CAPE COD ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J BRUN (ADMINISTRATOR)
(508) 833-6050
Entity
Organization
Contact information
Practice address
280 HERITAGE PARK, SANDWICH, MA 02563
(508) 833-6050
(508) 833-6029
Mailing address
PO BOX 820, 280 HERITAGE PARK, SANDWICH, MA 02563-0820
(508) 833-6050
(508) 833-6029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999325
FIRST HEALTH
—
01
—
2160646
AETNA
—
01
—
505370
CIGNA
—
01
—
5453231
CCN
—
01
—
6800018
UNITED HEALTHCARE
—
01
—
806016
TUFTS
MA
01
—
903441
HARVARD PILGRIM
—
01
—
M77019
BCBS
MA
Enumeration date
08/23/2005
Last updated
04/29/2010
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