Kentucky Lake Surgery Center Llc in Paris - Ambulatory Surgical
Kentucky Lake Surgery Center Llc - NPI 1033102397
Kentucky Lake Surgery Center Llc is a Ambulatory Surgical in Paris, Tennessee. Kentucky Lake Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Kentucky Lake Surgery Center Llc is 1033102397. The last update date is 2011-01-28.
Kentucky Lake Surgery Center Llc's current location address is 1002 Cornerstone Dr, Paris, Tennessee. You can contact this provider via phone number 7316442150 and fax number 7316440474. The mailing address for Kentucky Lake Surgery Center Llc is 1002 Cornerstone Dr, Paris, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kentucky Lake Surgery Center Llc |
---|---|
Address | 1002 Cornerstone Dr, Paris, Tennessee |
Phone Number | 7316442150 |
Fax Number | 7316440474 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
---|---|
Authorized Official Name | Mobley M Karolyn |
Telephone Number | 7316442150 |
NPI Number Detail
NPI Number | 1033102397 |
---|---|
Provider Enumeration Date | 2005-08-23 |
Last Updated Date | 2011-01-28 |
Provider Mailing Address Detail
Address | 1002 Cornerstone Dr |
---|---|
City | Paris |
State | Tennessee (TN) |
Post Code | 382425812 |
Phone Number | 7316442150 |
Fax Number | 7316440474 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
---|---|
Taxonomy | 261Qa1903X |
Licence No | 118 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3288139 | TN | -- | |
490004547 | TN | PALMETO GBA PROVIDER NUMB | |
3144925 | TN | BLUE CROSS PROVIDER NUMBE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kentucky Lake Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The Kentucky Lake Surgery Center Llc has been assigned the NPI (National Provider Identifier) 1033102397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kentucky Lake Surgery Center Llc is physically located?
The Kentucky Lake Surgery Center Llc is situated at the following address: 1002 Cornerstone Dr, Paris, TN 382425812.
What is Kentucky Lake Surgery Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kentucky Lake Surgery Center Llc is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033102397 to Kentucky Lake Surgery Center Llc?
The Centers for Medicare & Medicaid Services originally issued the 1033102397 to Kentucky Lake Surgery Center Llc on 2005-08-23.
As of what date was the information regarding Kentucky Lake Surgery Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kentucky Lake Surgery Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-28.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI