BRISTOL AMBULATORY SURGERY CENTER LLC NPI 1790344182

NPI Information

NPI: 1790344182
Provider Name: BRISTOL AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
350 BLOUNTVILLE HWY STE 108
BRISTOL, TN
ZIP 37620
Phone: (423) 844-6120
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BRISTOL AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bristol, TN. BRISTOL AMBULATORY SURGERY CENTER, LLC NPI is 1790344182. The provider is registered as an organization entity type.

The provider's business location address is:

350 BLOUNTVILLE HWY STE 108
BRISTOL, TN
ZIP 37620-676
Phone: (423) 844-6120
Fax: (423) 844-6119

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (469) 250-3640.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 12/2/2020.

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			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: 4/28/2024

NPI Synchronization or Removal

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