Ucsc LLC
Clinic/Center, Ambulatory Surgical in Union City, TN. Organization (NPI-2).
NPI number1831637875
StatusActive
Last updated in NPPESFeb 10, 2017
Details
- NPI
- 1831637875
- Entity type
- Organization (NPI-2)
- Legal business name
- Ucsc LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2017
- Last updated
- Feb 10, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | TN | Yes |
Other names
- Union City Surgery Center (Doing Business As)
Practice location
1722 E Reelfoot AveSuite 1
Union City, TN 38261-6050
Phone 731-885-8484
Mailing address
1722 E Reelfoot AveSuite 1
Union City, TN 38261-6050
Authorized official
Justine B. Corday
Administrator
3127143093
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