PHOENIX AMBULATORY SURGERY CENTER LLC NPI 1477067866

NPI Information

  • NPI: 1477067866
  • Provider Name: PHOENIX AMBULATORY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 101 PHYSICIANS WAY
    LEBANON, TN
    ZIP 37090
  • Phone: (615) 521-9097

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NPI Details

PHOENIX AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Lebanon, TN. PHOENIX AMBULATORY SURGERY CENTER LLC NPI is 1477067866. The provider is registered as an organization entity type.

The provider's business location address is:

101 PHYSICIANS WAY
LEBANON, TN
ZIP 37090-135
Phone: (615) 521-9097

The provider's authorized official is Courtney Dismukes Forbes .
The authorized official title is Billing Manager and has the following contact phone number (615) 449-0990.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 1/10/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1PENDINGMEDICAIDTENNESSEE

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: 11/21/2025

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