Provider Demographics
NPI:1154391340
Name:NORTH SURGERY CENTER LP
Entity type:Organization
Organization Name:NORTH SURGERY CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRYE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:901-516-1716
Mailing Address - Street 1:3950 NEW COVINGTON PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128
Mailing Address - Country:US
Mailing Address - Phone:901-373-1991
Mailing Address - Fax:901-516-1755
Practice Address - Street 1:3950 NEW COVINGTON PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128
Practice Address - Country:US
Practice Address - Phone:901-373-1991
Practice Address - Fax:901-516-1755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN096261QA1903X
TN0000000096261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN490004005OtherRAILROAD MEDICARE
TN3100749OtherBLUE CROSS BLUE SHIELD
TN490004005OtherRAILROAD MEDICARE