Organization
NORTHRIDGE SURGERY CENTER, LP
Active
Other names
Northridge Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MONTGOMERY (AUTHORIZED OFFICIAL-OFFICER)
(615) 868-8942
Entity
Organization
Contact information
Practice address
601 SAUNDERSVILLE RD, MADISON, TN 37075
(615) 868-8942
(615) 860-3820
Mailing address
601 SAUNDERSVILLE RD, HENDERSONVILLE, TN 37075-8981
(615) 868-8942
(615) 860-3820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000016
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4039016
BCBS
TN
01
—
490001500
RR MEDICARE
TN
05
—
7100077710
—
TN
Enumeration date
05/24/2005
Last updated
03/20/2026
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