GRANTS PASS SURGERY CENTER LLC NPI 1861492530

NPI Information

GRANTS PASS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Grants Pass, OR. GRANTS PASS SURGERY CENTER, LLC NPI is 1861492530. The provider is registered as an organization entity type.

The provider's business location address is:

1601 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526-041
Phone: (541) 472-4880
Fax: (541) 472-4899

The provider's authorized official is Julie Ann Deger .
The authorized official title is Office Manager and has the following contact phone number (541) 472-4884.

The CLIA number assigned to this NPI record is 38D0943049 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 1/3/2008.

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:

Other Identifiers

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