Organization
ASBURY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE YORK (BILLING OFFICE)
(865) 982-6109
Entity
Organization
Contact information
Practice address
105 W MYRTLE AVE, JOHNSON CITY, TN 37604-5633
(865) 982-6109
Mailing address
910 WILDER CHAPEL LN, MARYVILLE, TN 37804-3687
(865) 982-6109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062417
BLUE CROSS
TN
05
—
0445162
—
TN
05
—
7440347
—
TN
Enumeration date
12/18/2006
Last updated
01/19/2010
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