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
1150 PROFESIONAL COURT, SUITE P, HAGERSTOWN, MD 21740-4100
(301) 665-9696
(240) 420-5715
Mailing address
11350 MCCORMICK RD STE 501, HUNT VALLEY, MD 21031-1002
(301) 665-9696
(240) 420-5715
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02TI
BLUE CROSS
MD
01
—
P00081013
RAILROAD MEDICARE
MD
01
—
RE4
BLUE CROSS REGIONAL PLAN
MD
Enumeration date
09/03/2008
Last updated
12/08/2025
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