East Tennessee Ambulatory Surgery Center Llc
LBN: East Tennessee Ambulatory Surgery Center Llc
East Tennessee Ambulatory Surgery Center Llc is an health care organization with primary practice located at 701 Med Tech Pkwy , Johnson City TN 37604-2259. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
East Tennessee Ambulatory Surgery Center Llc can be contacted via phone (423) 283-7302, or through Brantner, Jim N via phone (423) 283-7302.
Contact Information
Primary practice address
701 Med Tech Pkwy
Johnson City TN 37604-2259
Phone: (423) 283-7302
Fax: (423) 282-3670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 0000000109 | Tennessee |
Profile Details
| NPI number | 1659360071 |
|---|---|
| LBN Legal business name | East Tennessee Ambulatory Surgery Center Llc |
| DBA Doing business as | |
| Authorized official | Brantner, Jim N Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Apr 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659360071 | NPPES |
| Other | 145422 | UMWA | |
| Other | 0007447071 | UMWA | |
| Other | 3135707 | UMWA | |
| MEDICAID | 3288092 | UMWA | |
| Other | 3135707 | UMWA |
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