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Organization
SAINT THOMAS CAMPUS SURGICARE LP
Active
Organization
SAINT THOMAS CAMPUS SURGICARE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN O'CONNOR (OFFICER / AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
4230 HARDING PIKE, PLAZA EAST, SUITE 300, NASHVILLE, TN 37205-2013
(615) 783-1260
(615) 783-1261
Mailing address
4230 HARDING PIKE, PLAZA EAST, SUITE 300, NASHVILLE, TN 37205-2013
(615) 783-1261
(615) 783-1261
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0430591
HEALTHSPRINGS
TN
01
—
103660100
U.S. DEPT OF LABOR
TN
01
—
2890510
AETNA
TN
05
—
3288708
—
TN
05
—
36001295
—
KY
01
—
4042363
BLUE CROSS BLUE SHIELD TN
TN
01
—
490005604
RAILROAD MEDICARE
TN
Enumeration date
08/16/2005
Last updated
10/11/2024
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