# SAINT THOMAS CAMPUS SURGICARE LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588656508
- **Authorized official:** KRISTEN O'CONNOR (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 376-7315

## Contact information

- **Practice address:** 4230 HARDING PIKE, PLAZA EAST, SUITE 300, NASHVILLE, TN 37205-2013
- **Practice address phone:** (615) 783-1260
- **Practice address fax:** (615) 783-1261
- **Mailing address:** 4230 HARDING PIKE, PLAZA EAST, SUITE 300, NASHVILLE, TN 37205-2013
- **Mailing address phone:** (615) 783-1261
- **Mailing address fax:** (615) 783-1261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000000143 | TN | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 10/11/2024

## 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 |