RIVER ROAD SURGERY CENTER LLC NPI 1487620472

NPI Information

  • NPI: 1487620472
  • Provider Name: RIVER ROAD SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 38D0970240
  • Address: 3099 RIVER RD S
    SUITE 100
    SALEM, OR
    ZIP 97302
  • Phone: (503) 361-3094

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NPI Details

RIVER ROAD SURGERY CENTER LLC is an ambulatory surgical clinic center in Salem, OR. RIVER ROAD SURGERY CENTER LLC NPI is 1487620472. The provider is registered as an organization entity type.

The provider's business location address is:

3099 RIVER RD S
SUITE 100
SALEM, OR
ZIP 97302-754
Phone: (503) 361-3094
Fax: (503) 485-2168

The provider's authorized official is Rochell Ann Blair Holmes .
The authorized official title is Business Office Supervisor and has the following contact phone number (503) 485-2584.

The CLIA number assigned to this NPI record is 38D0970240 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Obtaining ear cartilage for grafting (HCPCS:21235)

The enumeration date for this NPI number is 2/28/2006 and was last updated on 2/25/2008.

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
1261QA1903XClinic/CenterAmbulatory Surgical07 1529OREGONYes

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
1239968MEDICAIDOREGON
2R107980MEDICARE PINOREGON

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: 11/21/2025

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