Crown Surgery Center, Llc

LBN: Crown Surgery Center, Llc
Crown Surgery Center, Llc is an health care organization with primary practice located at 1956 N Jackson St , Tullahoma TN 37388-2204. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Crown Surgery Center, Llc can be contacted via phone (931) 455-8255, or through Myers, Donna via phone (931) 455-8255.

Contact Information

Primary practice address
1956 N Jackson St Tullahoma TN 37388-2204
Phone: (931) 455-8255
Fax: (931) 455-9550
Website:
Map and Directions
Authorized official contact:
Name: Myers, Donna Registered Dental Assistant (RDA)
Phone: (931) 455-8255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000191 Tennessee

Profile Details

NPI number 1942400056
LBN Legal business name Crown Surgery Center, Llc
DBA Doing business as
Authorized official Myers, Donna Registered Dental Assistant (RDA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Aug 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942400056 NPPES
Tennessee MEDICAID 4156852
Tennessee Other 5441948

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