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Contact Information

BSM SURGERY CENTER LLC
1128 NE SECOND STREET
SUITE 104
CORVALLIS, OR97330-6293
 Phone: 541-207-3334
 Fax: 541-207-3231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for BSM SURGERY CENTER LLC

NPI Number 1689800666
LBN Legal business name BSM SURGERY CENTER LLC
Authorized official JENNIFER KOLB - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2009
Last updated 09/18/2015 - About 11 years ago
Identifiers
OR Medicaid 500639211
OR Medicaid PENDING
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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