HOLSTON VALLEY AMBULATORY SURGERY CENTER LLC NPI 1356396857

NPI Information

NPI: 1356396857
Provider Name: HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 44D1051912

Address:
103 W STONE DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-4910
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HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Kingsport, TN. HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC NPI is 1356396857. The provider is registered as an organization entity type.

The provider's business location address is:

103 W STONE DR
KINGSPORT, TN
ZIP 37660-220
Phone: (423) 224-4910

The provider's authorized official is Jessica Rutters .
The authorized official title is Ao and has the following contact phone number (423) 224-4910.

The CLIA number assigned to this NPI record is 44D1051912 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 1/10/2020.

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	00000142	TENNESSEE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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