Maryville Surgical Center

LBN: Maryville Surgical Center
Maryville Surgical Center is an health care organization with primary practice located at 763 E Lamar Alexander Pkwy , Maryville TN 37804-5000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Maryville Surgical Center can be contacted via phone (865) 380-9070, or through Rider, Mary Ellen via phone (865) 380-9070.

Contact Information

Primary practice address
763 E Lamar Alexander Pkwy Maryville TN 37804-5000
Phone: (865) 380-9070
Fax: (865) 380-9093
Website:
Map and Directions
Authorized official contact:
Name: Rider, Mary Ellen Registered Nurse (RN)
Phone: (865) 380-9070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000107 Tennessee

Profile Details

NPI number 1134120280
LBN Legal business name Maryville Surgical Center
DBA Doing business as
Authorized official Rider, Mary Ellen Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1134120280 NPPES
Tennessee MEDICAID 3288166

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