Provider Demographics
NPI:1801945704
Name:THE BONE AND JOINT SURGERY CENTER
Entity type:Organization
Organization Name:THE BONE AND JOINT SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-599-3883
Mailing Address - Street 1:225 BEDFORD WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5527
Mailing Address - Country:US
Mailing Address - Phone:615-599-3883
Mailing Address - Fax:615-599-5228
Practice Address - Street 1:225 BEDFORD WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5527
Practice Address - Country:US
Practice Address - Phone:615-599-3883
Practice Address - Fax:615-599-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000150261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3288809Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER