SURGERY CENTER OF CLEVELAND
Surgery Yellow Pages
Cleveland, Tennessee
Provider NPI: 1306836606
Organization Information:Organization Name: SURGERY CENTER OF CLEVELAND
Practice Location:
137 25TH ST NE CLEVELAND, TN 37311 US
Tel: 423-472-7874 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:
137 25TH ST NE CLEVELAND, TN 37311 US
Tel: 423-472-7874 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 | 0000000002 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS PROVIDER NUMBE | 100920 | TN | 01 |
AETNA PROVIDER NUMBER | 7806130 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin