MOUNTAIN EMPIRE SURGERY CENTER LP; NPI #1760486369

Contact Information

MOUNTAIN EMPIRE SURGERY CENTER LP

601 MED TECH PKWY
JOHNSON CITY, TN 37604

Phone: 423-610-1020
Fax: 423-610-1021
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for MOUNTAIN EMPIRE SURGERY CENTER LP

NPI # 1760486369

LBN Legal business name MOUNTAIN EMPIRE SURGERY CENTER LP

Authorized official KRISTEN OCONNOR - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/10/2005

Last updated 10/14/2024 - More than a year ago

Identifiers

TN	License #	0000000120
TN	Medicaid	3281998
TN	Other	3150816	BLUE CROSS BLUE SHIELD
TN	Other	490004752	MEDICARE RAILROAD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MOUNTAIN EMPIRE SURGERY CENTER LP

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for MOUNTAIN EMPIRE SURGERY CENTER LP

Reviews for MOUNTAIN EMPIRE SURGERY CENTER LP