Specialty Surgery Center, Pllc

LBN: Specialty Surgery Center, Pllc
Specialty Surgery Center, Pllc is an health care organization with primary practice located at 116 Brown Ave , Crossville TN 38555-7703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Specialty Surgery Center, Pllc can be contacted via phone (931) 484-2500, or through Bowlin, Kim L via phone (931) 484-2500.

Contact Information

Primary practice address
116 Brown Ave Crossville TN 38555-7703
Phone: (931) 484-2500
Fax: (931) 456-7659
Website:
Map and Directions
Authorized official contact:
Name: Bowlin, Kim L
Phone: (931) 484-2500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000091 Tennessee

Profile Details

NPI number 1659354074
LBN Legal business name Specialty Surgery Center, Pllc
DBA Doing business as
Authorized official Bowlin, Kim L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 22nd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659354074 NPPES
Tennessee MEDICAID 3287828
Tennessee Other 1659354074

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