institution
Mountain Empire Surgery Center Lp
Ambulatory Surgical Clinic/Center in Johnson City, Tennessee
NPI 1760486369

Mountain Empire Surgery Center Lp is an Ambulatory Surgical Clinic/Center based in Johnson City, TN and is specialized in Ambulatory Surgical. Mountain Empire Surgery Center Lp practices in Johnson City, TN. The NPI Number for Mountain Empire Surgery Center Lp is 1760486369 and holds a License No. 0000000120 (Tennessee).

The current practice location address for Mountain Empire Surgery Center Lp is 601 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-610-1020 and via fax at 423-610-1021.

Location: 601 Med Tech Pkwy, Johnson City, TN, 37604-2253
institution
Provider Profile Details
NPI Number
1760486369
Provider Name
Mountain Empire Surgery Center Lp
Credential
Provider Entity Type
Organization
Address
601 Med Tech Pkwy, Johnson City, TN, 37604-2253
Phone Number
423-610-1020
Fax Number
423-610-1021
Provider Enumeration Date
06/10/2005
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3281998 05 TN
3150816 01 TN BLUE CROSS BLUE SHIELD
490004752 01 TN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
601 Med Tech Pkwy
City
State
Zip
37604
Phone Number
423-610-1020
Fax Number
423-610-1021
person
Provider Business Mailing Address Details
Address
601 Med Tech Pkwy
City
State
Zip
37604
Phone Number
423-610-1020
Fax Number
423-610-1021
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0000000120 (Tennessee)
Definition
Definition to come...
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