MOUNTAIN EMPIRE SURGERY CENTER LP
Surgery Yellow Pages
Johnson City, Tennessee
Provider NPI: 1760486369
Organization Information:Organization Name: MOUNTAIN EMPIRE SURGERY CENTER LP
Practice Location:
601 MED TECH PKWY JOHNSON CITY, TN 37604 US
Tel: 423-610-1020 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
601 MED TECH PKWY JOHNSON CITY, TN 37604 US
Tel: 423-610-1020 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TN | 0000000120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3281998 | TN | 05 | |
BLUE CROSS BLUE SHIELD | 3150816 | TN | 01 |
MEDICARE RAILROAD | 490004752 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin