Organization Active NPI

Sapling Grove Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bristol, TN
National Provider Identifier
1215978945
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0116 Issued in TN
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidTN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.