SURGERY CENTER OF OAK RIDGE, LLC
Surgery Yellow Pages
Oak Ridge, Tennessee
Provider NPI: 1033105960
Organization Information:Organization Name: SURGERY CENTER OF OAK RIDGE, LLC
Practice Location:
944 OAK RIDGE TPKE SUITE 200 OAK RIDGE, TN 37830 US
Tel: 865-835-5000 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:
944 OAK RIDGE TPKE SUITE 200 OAK RIDGE, TN 37830 US
Tel: 865-835-5000 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 | 0000000125 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUECROSS BLUESHIELD TN | 3148496 | TN | 01 |
NHC | 00003022 | TN | 01 |
CIGNA | 0140258707 | TN | 01 |
KENTUCKY MEDICAID | 36001022 | KS | 01 |
JOHN DEERE | A3783000 | TN | 01 |
EEOICP | 080037499 | TN | 01 |
3288148 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin