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Contact Information

CENTER FOR SURGICAL SPECIALTIES, LLC
310 COLLOREDO BLVD
STE B
SHELBYVILLE, TN37160
 Phone: 931-684-3504
 Fax: 931-684-5122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for CENTER FOR SURGICAL SPECIALTIES, LLC

NPI Number 1770524878
LBN Legal business name CENTER FOR SURGICAL SPECIALTIES, LLC
Authorized official DOMENIC CANONICO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2006
Last updated 08/20/2013 - About 13 years ago
Identifiers
TN License # 0000000128
TN Medicaid 3288771E3739743
TN Other 4052519 BCBST
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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