AMBULATORY SURGERY CENTER OF ROSEBURG, LLC; NPI #1174528038

Contact Information

AMBULATORY SURGERY CENTER OF ROSEBURG, LLC

2801 NW MERCY DR
STE 200
ROSEBURG, OR 97470-2348

Phone: 541-677-2800
Fax: 541-677-2820
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for AMBULATORY SURGERY CENTER OF ROSEBURG, LLC

NPI # 1174528038

LBN Legal business name AMBULATORY SURGERY CENTER OF ROSEBURG, LLC

Authorized official VANESSA VU - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

OR	License #	07 1542
OR	Medicaid	100343

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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