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EAST TENNESSEE AMBULATORY SURGERY CENTER LLC

Surgery Yellow Pages

Johnson City, Tennessee

Provider NPI: 1659360071

Organization Information:
Organization Name:  EAST TENNESSEE AMBULATORY SURGERY CENTER LLC


Practice Location:
701 MED TECH PKWY  JOHNSON CITY, TN 37604 US
Tel: 423-283-7302  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000109

Other Provider Identifiers:

IssuerNumberStateType
BCBS TENNCARE3135707TN01
BCBS OF TN313570701
UMWA14542201
3288092TN05
AETNA000744707101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



JOBS TN - Page 1



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