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NPI Code Detail

MEDICARE: COA ASC OF FRANKLIN COUNTY LLC

MEDICARE: COA ASC OF FRANKLIN COUNTY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center0010ASOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1490002923OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000208628OTHEROHANTHEM

General Provider Information

NPI Number : 1962400044
Entity Type Code : Organization
Provider Name (Legal Business Name) : COA ASC OF FRANKLIN COUNTY LLC
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD # L&C
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6187
Country : US
Telephone Number : 615-665-1283
Fax Number : 615-234-1720
Provider Business Practice Location Address
First Line : 5965 E BROAD ST
Second Line : SUITE 460
City : COLUMBUS
State : OH
Zip : 43213-1562
Country : US
Telephone Number : 614-751-4080
Fax Number : 614-751-4092
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY E. SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 07/12/2005
Last Update Date : 11/23/2022

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Directions to “COA ASC OF FRANKLIN COUNTY LLC ” Practice Location

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