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:
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:
647 MYATT DR MADISON, TN 37115 US
Tel: 615-868-8942 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 | 0000000016 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 4039016 | TN | 01 |
RR MEDICARE | 490001500 | TN | 01 |
7100077710 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin