TRI-CITIES OUTPATIENT SURGERY INC. NPI 1942317672

NPI Information

NPI: 1942317672
Provider Name: TRI-CITIES OUTPATIENT SURGERY, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1009 N STATE OF FRANKLIN ACCESS ROAD
SUITE B
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7546
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TRI-CITIES OUTPATIENT SURGERY, INC. is an ambulatory surgical clinic center in Johnson City, TN. TRI-CITIES OUTPATIENT SURGERY, INC. NPI is 1942317672. The provider is registered as an organization entity type.

The provider's business location address is:

1009 N STATE OF FRANKLIN ACCESS ROAD
SUITE B
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7546
Fax: (423) 929-7968

The provider's authorized official is Brenda S Stufflestreet .
The authorized official title is Adminstrator and has the following contact phone number (423) 929-7546.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 6/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	178	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3739651	MEDICAID	TENNESSEE
2	4116033	OTHER	TENNESSEE	BLUECROSS BLUESHIELD TN
3	3739651	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
4	7374735	OTHER	TENNESSEE	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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