institution
East Tennessee Ambulatory Surgery Center Llc
Ambulatory Surgical Clinic/Center in Johnson City, Tennessee
NPI 1659360071

East Tennessee Ambulatory Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Johnson City, TN and is specialized in Ambulatory Surgical. East Tennessee Ambulatory Surgery Center Llc practices in Johnson City, TN. The NPI Number for East Tennessee Ambulatory Surgery Center Llc is 1659360071 and holds a License No. 0000000109 (Tennessee).

The current practice location address for East Tennessee Ambulatory Surgery Center Llc is 701 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-283-7302 and via fax at 423-282-3670. You can also correspond with East Tennessee Ambulatory Surgery Center Llc through the mailing address at 701 MED TECH PKWY, JOHNSON CITY, TN - 37604-2259 (mailing address contact number: 423-283-7302).

Location: 701 Med Tech Pkwy, Johnson City, TN, 37604-2259
institution
Provider Profile Details
NPI Number
1659360071
Provider Name
East Tennessee Ambulatory Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
701 Med Tech Pkwy, Johnson City, TN, 37604-2259
Phone Number
423-283-7302
Fax Number
423-282-3670
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
145422 01 UMWA
0007447071 01 AETNA
3135707 01 BCBS OF TN
3288092 05 TN
3135707 01 TN BCBS TENNCARE
institution
Provider Business Practice Location Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2259
Phone Number
423-283-7302
Fax Number
423-282-3670
person
Provider Business Mailing Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2259
Phone Number
423-283-7302
Fax Number
423-282-3670
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0000000109 (Tennessee)
Definition
Definition to come...
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