Provider Demographics
NPI:1528804275
Name:GRASSLAND SURGERY CENTER LLC
Entity type:Organization
Organization Name:GRASSLAND SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-620-9302
Mailing Address - Street 1:215 JAMESTOWN PARK STE 205
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7500
Mailing Address - Country:US
Mailing Address - Phone:615-620-9300
Mailing Address - Fax:615-620-9307
Practice Address - Street 1:1200 OLD HILLSBORO ROAD
Practice Address - Street 2:BUILDING B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069
Practice Address - Country:US
Practice Address - Phone:615-620-9300
Practice Address - Fax:615-620-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical