Maryville Surgical Center in Maryville - Ambulatory Surgical
Maryville Surgical Center - NPI 1134120280
Maryville Surgical Center is a Ambulatory Surgical in Maryville, Tennessee. Maryville Surgical Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Maryville Surgical Center is 1134120280. The last update date is 2020-08-22.
Maryville Surgical Center's current location address is 763 E Lamar Alexander Pkwy, Maryville, Tennessee. You can contact this provider via phone number 8653809070 and fax number 8653809093. The mailing address for Maryville Surgical Center is 763 E Lamar Alexander Pkwy, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryville Surgical Center |
|---|---|
| Address | 763 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Phone Number | 8653809070 |
| Fax Number | 8653809093 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Rider Mary Ellen |
| Credentials | RN |
| Telephone Number | 8653809070 |
NPI Number Detail
| NPI Number | 1134120280 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 763 E Lamar Alexander Pkwy |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378045000 |
| Phone Number | 8653809070 |
| Fax Number | 8653809093 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 107 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3288166 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maryville Surgical Center by the Centers for Medicare & Medicaid Services?
The Maryville Surgical Center has been assigned the NPI (National Provider Identifier) 1134120280. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Maryville Surgical Center's facilities are situated?
The facilities of Maryville Surgical Center are physically located at the following address: 763 E Lamar Alexander Pkwy, Maryville, TN, 378045000.
What is Maryville Surgical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maryville Surgical Center is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134120280 to Maryville Surgical Center?
The Centers for Medicare & Medicaid Services originally issued the 1134120280 to Maryville Surgical Center on 2005-08-10.
When was the information related to Maryville Surgical Center most recently updated or refreshed?
The details pertaining to the Maryville Surgical Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.