Center For Surgical Specialties, Llc
LBN: Center For Surgical Specialties, Llc
Center For Surgical Specialties, Llc is an health care organization with primary practice located at 310 Colloredo Blvd Ste B, Shelbyville TN 37160. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Center For Surgical Specialties, Llc can be contacted via phone (931) 684-3504, or through Canonico, Domenic M. via phone (931) 684-3504.
Contact Information
Primary practice address
310 Colloredo Blvd Ste B
Shelbyville TN 37160
Phone: (931) 684-3504
Fax: (931) 684-5122
Website:
Authorized official contact:
Name: Canonico, Domenic M. Doctor of Medicine (MD)
Phone: (931) 684-3504
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 0000000128 | Tennessee |
Profile Details
| NPI number | 1770524878 |
|---|---|
| LBN Legal business name | Center For Surgical Specialties, Llc |
| DBA Doing business as | |
| Authorized official | Canonico, Domenic M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 20th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770524878 | NPPES |
| Tennessee | MEDICAID | 3288771E3739743 | |
| Tennessee | Other | 4052519 |
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