SAPLING GROVE AMBULATORY SURGERY CENTER LLC NPI 1215978945

NPI Information

NPI: 1215978945
Provider Name: SAPLING GROVE AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 44D2180240

Address:
240 MEDICAL PARK BLVD
STE 2400
BRISTOL, TN
ZIP 37620
Phone: (423) 990-2470
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SAPLING GROVE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bristol, TN. SAPLING GROVE AMBULATORY SURGERY CENTER, LLC NPI is 1215978945. The provider is registered as an organization entity type.

The provider's business location address is:

240 MEDICAL PARK BLVD
STE 2400
BRISTOL, TN
ZIP 37620-346
Phone: (423) 990-2470
Fax: (423) 990-2471

The provider's authorized official is Shawna Armstrong .
The authorized official title is Comptroller and has the following contact phone number (423) 857-2008.

The CLIA number assigned to this NPI record is 44D2180240 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 6/6/2018.

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	0116	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	PENDING	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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