CASCADE SURGICENTER LLC NPI 1669437497

NPI Information

NPI: 1669437497
Provider Name: CASCADE SURGICENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D1035054

Address:
2200 NE NEFF ROAD,
SUITE 100
BEND, OR
ZIP 97701
Phone: (541) 330-8671
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CASCADE SURGICENTER, LLC is an ambulatory surgical clinic center in Bend, OR. CASCADE SURGICENTER, LLC NPI is 1669437497. The provider is registered as an organization entity type.

The provider's business location address is:

2200 NE NEFF ROAD,
SUITE 100
BEND, OR
ZIP 97701
Phone: (541) 330-8671
Fax: (541) 322-2394

The provider's authorized official is Cammy Gilstrap .
The authorized official title is Clinical Director and has the following contact phone number (541) 330-8671.

The CLIA number assigned to this NPI record is 38D1035054 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/21/2022.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		OREGON	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	08-00002864	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	P333601	OTHER		PACIFIC SOURCE
2	197475	OTHER		WA DEPT OF LABOR
3	197167600	OTHER		BLUE CROSS
4	269786	OTHER		OMAP
5	338161	OTHER		PROVIDENCE HP
6	33601	OTHER	OREGON	PACIFIC SOURCE HEALTH PLAN
7	610406200	OTHER		US DEPT OF LABOR
8	38C0001068	OTHER	OREGON	CCN (CMS CERTIFICATION NUMBER)

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: 4/28/2024

NPI Synchronization or Removal

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