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Organization
UNION CITY ASC LLC
Active
Organization
UNION CITY ASC LLC
Active
Other names
Summit Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY MAREE SUMMERS CPPM (PRACTICE MANAGER)
(731) 884-0600
Entity
Organization
Contact information
Practice address
1109 REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5856
(731) 884-0600
(731) 885-6171
Mailing address
1109 REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5856
(731) 884-0600
(731) 885-6171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00000102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00211352
RAILROAD MEDICARE
TN
Enumeration date
06/22/2006
Last updated
03/13/2018
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