Organization
TRI-CITIES OUTPATIENT SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA S STUFFLESTREET (ADMINSTRATOR)
(423) 929-7546
Entity
Organization
Contact information
Practice address
1009 N STATE OF FRANKLIN ACCESS ROAD, SUITE B, JOHNSON CITY, TN 37604
(423) 929-7546
(423) 929-7968
Mailing address
1009 N STATE OF FRANKLIN ACCESS ROAD, SUITE B, JOHNSON CITY, TN 37604
(423) 929-7546
(423) 929-7968
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739651
—
TN
01
—
4116033
BLUECROSS BLUESHIELD TN
TN
01
—
7374735
AETNA
TN
Enumeration date
08/25/2006
Last updated
06/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us