GRANTS PASS SURGERY CENTER, LLC; NPI #1861492530

Contact Information

GRANTS PASS SURGERY CENTER, LLC

1601 NW HAWTHORNE AVE
GRANTS PASS, OR 97526-1041

Phone: 541-472-4880
Fax: 541-472-4899
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 GRANTS PASS SURGERY CENTER, LLC

NPI # 1861492530

LBN Legal business name GRANTS PASS SURGERY CENTER, LLC

Authorized official JULIE DEGER - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2005

Last updated 01/03/2008 - About 18 years ago

Identifiers

OR	License #	0504365
OR	Medicaid	165232

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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