CENTER FOR DAY SURGERY NPI 1881699106

NPI Information

NPI: 1881699106
Provider Name: CENTER FOR DAY SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 44D2031491

Address:
1821 N WASHINGTON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-2005
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CENTER FOR DAY SURGERY is an ambulatory surgical clinic center in Tullahoma, TN. CENTER FOR DAY SURGERY NPI is 1881699106. The provider is registered as an organization entity type.

The provider's business location address is:

1821 N WASHINGTON ST
TULLAHOMA, TN
ZIP 37388-221
Phone: (931) 455-2005
Fax: (931) 455-4450

The provider's authorized official is Tracy Dawn Wilkins .
The authorized official title is Credentialing Facilitator and has the following contact phone number (931) 461-5056.

The CLIA number assigned to this NPI record is 44D2031491 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 8/22/2020.

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	124	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	4015184	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	3288616	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: 5/5/2024

NPI Synchronization or Removal

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