Active NPI
Sapling Grove Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Bristol, TN
National Provider Identifier
1215978945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0116
- Legal business name
- SAPLING GROVE AMBULATORY SURGERY CENTER, LLC
- Practice address
- 240 Medical Park Blvd
Ste 2400
Bristol, TN 37620-7346 - Phone
- (423) 990-2470
- Fax
- (423) 990-2471
- NPI assigned
- Jun 10, 2006
- Last updated
- Jun 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawna Armstrong
- Title
- Comptroller
- Phone
- (423) 857-2008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0116 | TN | Primary |
Addresses
Primary practice location
240 Medical Park Blvd
Ste 2400
Bristol, TN 37620-7346
Mailing address
PO Box 449
Kingsport, TN 37662-0449
Phone (423) 990-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1215978945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620449",
"telephone_number": "423-990-2470",
"fax_number": "423-990-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEDICAL PARK BLVD",
"address_2": "STE 2400",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207346",
"telephone_number": "423-990-2470",
"fax_number": "423-990-2471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAPLING GROVE AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "SHAWNA",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "423-857-2008"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.