Organization
UNION CITY ASC LLC
Active
Other names
Summit Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY MAREE SUMMERS CPPM (PRACTICE MANAGER)
(731) 884-0600
Entity
Organization
Contact information
Practice address
1109 REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5856
(731) 884-0600
(731) 885-6171
Mailing address
1109 REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5856
(731) 884-0600
(731) 885-6171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00000102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00211352
RAILROAD MEDICARE
TN
Enumeration date
06/22/2006
Last updated
03/13/2018
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