Organization Name: | CAPE SURGERY CENTER, LLC |
NPI Number: | 1023039195 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD C CAPE (OWNER) |
Mailing Address: | 401 E Tickle St Dyersburg |
State: | TN US |
Postal Code: | 380243163 |
Phone Number: | 7312851545 |
Fax Number: | 7312860433 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |