URLOGY AMBULATORY SURGERY CENTER LLC NPI 1366422370

NPI Information

NPI: 1366422370
Provider Name: URLOGY AMBULATORY SURGERY CENTER LLC

Doing Business As: WOLF RIVER SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1325 WOLF PARK DRIVE
SUITE 101
GERMANTOWN, TN
ZIP 38138
Phone: (901) 252-3403
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URLOGY AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Germantown, TN. URLOGY AMBULATORY SURGERY CENTER LLC NPI is 1366422370. The provider is registered as an organization entity type.
The provider Is Doing Business As Wolf River Surgery Center.

The provider's business location address is:

1325 WOLF PARK DRIVE
SUITE 101
GERMANTOWN, TN
ZIP 38138
Phone: (901) 252-3403
Fax: (901) 516-1755

The provider's authorized official is Sherrye B Crone .
The authorized official title is Administrator and has the following contact phone number (901) 516-1716.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 2/1/2012.

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	134	TENNESSEE	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	0000000134	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	3288661	MEDICARE UPIN	TENNESSEE
2	490005620	OTHER	TENNESSEE	RAILROAD MEDICARE
3	3288661	MEDICAID	TENNESSEE
4	4046074	OTHER	TENNESSEE	BCBS
5	3288661	MEDICARE ID-TYPE UNSPECIFIED	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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