WARTBURG SURGERY CENTER LLC – NPI #1104055425
Clinic/Center

WARTBURG SURGERY CENTER LLC is an AHC clinic located in WARTBURG, TN. NPPES has assigned the NPI number 1104055425 to WARTBURG SURGERY CENTER LLC on July 08, 2009. 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 4 years ago on Jul 21, 2022. 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 WARTBURG SURGERY CENTER LLC below.

NPI Profile for
WARTBURG SURGERY CENTER LLC

NPI Number
1104055425
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WARTBURG SURGERY CENTER LLC
Primary location
1236 KNOXVILLE HWY
WARTBURG, TN 37887-4200
Phone: (423) 346-2015 Fax: (423) 346-7541
Mailing address
PO BOX 388
WARTBURG, TN 37887-0388
Phone: (423) 346-2015 Fax: (423) 346-7541
Organization Subpart
No
Authorized Official
TIMOTHY OCHS
CO-OWNER
Phone: (423) 346-2015
Updated
Identifiers

Identifiers for WARTBURG 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.

DescriptionIssuerStateIdentifier
MEDICAIDTN1517029
Taxonomy Code(s)

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 0000000133

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.