Kingsport Day Surgery

LBN: Kingsport Ambulatory Surgery Ctr
Kingsport Day Surgery is an health care organization with primary practice located at 2204 Pavilion Drive Suite 300, Kingsport TN 37660-4653. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Kingsport Ambulatory Surgery Ctr can be contacted via phone (423) 857-6300, or through Moran, Jenetha D via phone (972) 763-3893.

Contact Information

Primary practice address
2204 Pavilion Drive Suite 300 Kingsport TN 37660-4653
Phone: (423) 857-6300
Fax: (423) 857-6324
Website:
Map and Directions
Authorized official contact:
Name: Moran, Jenetha D
Phone: (972) 763-3893

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000113 Tennessee

Profile Details

NPI number 1053404574
LBN Legal business name Kingsport Ambulatory Surgery Ctr
DBA Doing business as Kingsport Day Surgery
Authorized official Moran, Jenetha D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 14th, 2020 - about 5 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 1053404574 NPPES
Other 100032523 PHP
MEDICAID 170411602 PHP
MEDICAID 36001311 PHP
Other A3766000 PHP
Other 227545 PHP
Other 3148953 PHP
MEDICAID 007603177 PHP
MEDICAID 091618800 PHP
MEDICAID 3288120 PHP
Other 7254600 PHP

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