| Organization Name: | AMBULATORY SURGICAL CENTER OF WARTBURG |
| NPI Number: | 1598806408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC M REDMON (DIRECTOR) |
| Mailing Address: | 1236 Knoxville Hwy Wartburg |
| State: | TN US |
| Postal Code: | 37887 |
| Phone Number: | 4233465566 |
| Fax Number: | 4233467541 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |