Active NPI
Cumberland Valley Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Hagerstown, MD
National Provider Identifier
1881658524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1380
- Legal business name
- CUMBERLAND VALLEY SURGERY CENTER, LLC
- Practice address
- 1110 Professional Boulevard
Suite 100
Hagerstown, MD 21740-5826 - Phone
- (240) 420-5559
- Fax
- (240) 420-3786
- NPI assigned
- Apr 12, 2006
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Milford, MD
- Title
- Medical Director
- Phone
- (240) 420-5559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1380 | MD | Primary |
Addresses
Primary practice location
1110 Professional Boulevard
Suite 100
Hagerstown, MD 21740-5826
Mailing address
1110 Professional Boulevard
Suite 100
Hagerstown, MD 21740
Phone (405) 608-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404365100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040429001451 | MD | Part B Supplier - Ambulatory Surgical Center | 5597752543 | Practice locations: Hagerstown, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Cumberland Valley Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1012034 | Cumberland Valley Surgery Center | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
1110 Professional Ct
Ste 100
Hagerstown, MD 21740
Phone (240) 420-5559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1881658524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 PROFESSIONAL BOULEVARD",
"address_2": "SUITE 100",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "405-608-1700",
"fax_number": "405-608-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 PROFESSIONAL BOULEVARD",
"address_2": "SUITE 100",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405826",
"telephone_number": "240-420-5559",
"fax_number": "240-420-3786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND VALLEY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "MILFORD",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "240-420-5559",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404365100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Tracey Anne Culbertson, MD
- Cumberland Valley Chiropractic Clinic, LLC
- Cumberland Valley ENT Consultants (Drs. Drawbaugh, Saylor, Wathne & Cukier, P. A.)
- Cumberland Valley Lactation LLC
- Cumberland Valley Retina Consultants PC
- Kevin Curlis, DPM
- James Mark Curran, LGPC
- Zinaida Curtis, LCSW-C
- Angie Custer, LGPC
- Terry Cutchall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.