Organization
VANGUARD HEALTHCARE ANCILLARY SERVICES, LLC
Active
Other names
Total Ancillary Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK F HEBERT (MANAGING PARTNER)
(615) 250-7100
Entity
Organization
Contact information
Practice address
6 CADILLAC DR, SUITE 310, BRENTWOOD, TN 37027-5080
(615) 250-7100
Mailing address
6 CADILLAC DR, SUITE 310, BRENTWOOD, TN 37027-5080
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440513
—
MS
05
—
1452939
—
TN
Enumeration date
03/29/2007
Last updated
11/15/2007
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