River Road Surgery Center Llc

LBN: River Road Surgery Center Llc
River Road Surgery Center Llc is an health care organization with primary practice located at 3099 River Rd S Suite 100, Salem OR 97302-9754. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. River Road Surgery Center Llc can be contacted via phone (503) 361-3094, or through Holmes, Rochell Ann Blair via phone (503) 485-2584.

Contact Information

Primary practice address
3099 River Rd S Suite 100 Salem OR 97302-9754
Phone: (503) 361-3094
Fax: (503) 485-2168
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Rochell Ann Blair
Phone: (503) 485-2584

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 07 1529 Oregon

Profile Details

NPI number 1487620472
LBN Legal business name River Road Surgery Center Llc
DBA Doing business as
Authorized official Holmes, Rochell Ann Blair
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487620472 NPPES
Oregon MEDICAID 239968

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