OREGON SURGICENTER LLC NPI 1295738375

NPI Information

NPI: 1295738375
Provider Name: OREGON SURGICENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D1031128

Address:
2400 HARTMAN LN
STE 300
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 343-1603
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OREGON SURGICENTER LLC is an ambulatory surgical clinic center in Springfield, OR. OREGON SURGICENTER LLC NPI is 1295738375. The provider is registered as an organization entity type.

The provider's business location address is:

2400 HARTMAN LN
STE 300
SPRINGFIELD, OR
ZIP 97477-198
Phone: (541) 343-1603
Fax: (541) 687-0281

The provider's authorized official is Terrance Fitzpatrick .
The authorized official title is Administrator and has the following contact phone number (541) 334-3350.

The CLIA number assigned to this NPI record is 38D1031128 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 9/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	393786	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00175746	OTHER	OREGON	RAILROAD MEDICARE
2	277843	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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