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:

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

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