Provider Demographics
NPI:1174679054
Name:CROSSROADS SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:CROSSROADS SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:615-602-9300
Mailing Address - Street 1:1805 WILLIAMSON CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7974
Mailing Address - Country:US
Mailing Address - Phone:615-331-5536
Mailing Address - Fax:615-331-3740
Practice Address - Street 1:1805 WILLIAMSON CT
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7974
Practice Address - Country:US
Practice Address - Phone:615-613-0259
Practice Address - Fax:615-548-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical