1205912102 NPI number — MANCHESTER SURGICAL ASSOC

Table of content: (NPI 1205912102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205912102 NPI number — MANCHESTER SURGICAL ASSOC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MANCHESTER SURGICAL ASSOC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205912102
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1228
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37349-1228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-728-5879
Provider Business Mailing Address Fax Number:
931-728-5881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1239 MCARTHUR DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37355-2423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-728-5879
Provider Business Practice Location Address Fax Number:
931-728-5881
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SULLIVAN
Authorized Official First Name:
J
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
GENERAL SURGEON
Authorized Official Telephone Number:
931-728-5879

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  DO0000000201 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3301339 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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