KENTUCKY LAKE SURGERY CENTER LLC – NPI #1033102397
Clinic/Center
KENTUCKY LAKE SURGERY CENTER LLC is an AHC clinic located in PARIS, TN. NPPES has assigned the NPI number 1033102397 to KENTUCKY LAKE SURGERY CENTER LLC on August 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 15 years ago on Jan 28, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENTUCKY LAKE SURGERY CENTER LLC below.
NPI Profile for
KENTUCKY LAKE SURGERY CENTER LLC
(about 21 years ago)
SUITE B
PARIS, TN 38242-5812 Phone: (731) 644-2150 Fax: (731) 644-0474
ADMINISTRATOR
Phone: (731) 644-2150
Identifiers for KENTUCKY LAKE SURGERY CENTER LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS PROVIDER NUMBE | TN | 3144925 |
| OTHER | PALMETO GBA PROVIDER NUMB | TN | 490004547 |
| MEDICAID | TN | 3288139 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
TN | 0000000118 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.