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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