WOLF RIVER SURGERY CENTER – NPI #1366422370
Clinic/Center

WOLF RIVER SURGERY CENTER is an AHC clinic located in GERMANTOWN, TN. NPPES has assigned the NPI number 1366422370 to WOLF RIVER SURGERY CENTER on January 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WOLF RIVER SURGERY CENTER” is a dba name, the actual legal business name for this organization is URLOGY AMBULATORY SURGERY CENTER LLC. 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 14 years ago on Feb 01, 2012. 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 WOLF RIVER SURGERY CENTER below.

NPI Profile for
URLOGY AMBULATORY SURGERY CENTER LLC

NPI Number
1366422370
Enumeration Date

(more than 20 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
URLOGY AMBULATORY SURGERY CENTER LLC
Doing Business As (dba): WOLF RIVER SURGERY CENTER
Primary location
1325 WOLF PARK DRIVE
SUITE 101
GERMANTOWN, TN 38138
Phone: (901) 252-3403 Fax: (901) 516-1755
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHERRYE CRONE
ADMINISTRATOR
Phone: (901) 516-1716
Updated
Identifiers

Identifiers for WOLF RIVER SURGERY CENTER

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
OTHERBCBSTN4046074
OTHERRAILROAD MEDICARETN490005620
MEDICAIDTN3288661
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 134

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.