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Organization
AMBULATORY SURGICAL ASSOCIATES LLC
Active
Organization
AMBULATORY SURGICAL ASSOCIATES LLC
Active
Other names
Tullahoma Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN OCONNOR (AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
725 KINGS LN, TULLAHOMA, TN 37388-5372
(931) 455-1976
(931) 455-7122
Mailing address
725 KINGS LN, TULLAHOMA, TN 37388-5372
(931) 455-1976
(931) 455-7122
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000148
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288744
—
TN
01
—
4059247
BLUE CROSS/ BLUE SHIELD
TN
01
—
P00024652
RAILROAD MEDICARE
TN
Enumeration date
04/25/2006
Last updated
03/28/2025
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