CASCADE SURGERY CENTER LLC NPI 1922022425

NPI Information

NPI: 1922022425
Provider Name: CASCADE SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D1047846

Address:
120 NE MANZANITA AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-6636
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CASCADE SURGERY CENTER LLC is an ambulatory surgical clinic center in Grants Pass, OR. CASCADE SURGERY CENTER LLC NPI is 1922022425. The provider is registered as an organization entity type.

The provider's business location address is:

120 NE MANZANITA AVE
GRANTS PASS, OR
ZIP 97526-431
Phone: (541) 476-6636
Fax: (541) 476-6690

The provider's authorized official is Douglas R. Merritt .
The authorized official title is President and has the following contact phone number (541) 476-6636.

The CLIA number assigned to this NPI record is 38D1047846 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 2/8/2011.

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	395515	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	R134254	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PROVIDER NUMBER
2	395515	OTHER	OREGON	OREGON MEDICAL LICENSE
3	399700000084893	OTHER	OREGON	DBID

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

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