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NORTHRIDGE SURGERY CENTER, LP

Surgery Yellow Pages

Madison, Tennessee

Provider NPI: 1245233220

Organization Information:
Organization Name:  NORTHRIDGE SURGERY CENTER, LP


Practice Location:
647 MYATT DR  MADISON, TN 37115 US
Tel: 615-868-8942  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000016

Other Provider Identifiers:

IssuerNumberStateType
BCBS4039016TN01
RR MEDICARE490001500TN01
7100077710TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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