RUSH SURGERY CENTER, LLC – NPI #1164452249
Clinic/Center

RUSH SURGERY CENTER, LLC is an AHC clinic located in BROOKINGS, OR. NPPES has assigned the NPI number 1164452249 to RUSH SURGERY CENTER, LLC on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 9 years ago on Feb 21, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSH SURGERY CENTER, LLC below.

NPI Profile for
RUSH SURGERY CENTER, LLC

NPI Number
1164452249
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RUSH SURGERY CENTER, LLC
Primary location
648 CHETCO AVENUE
BROOKINGS, OR 97415
Phone: (541) 813-1835 Fax: (541) 813-1282
Mailing address
94220 FOURTH STREET
GOLD BEACH, OR 97444
Phone: (541) 247-3000 Fax: (541) 247-3101
Organization Subpart
Yes - RUSH SURGERY CENTER, LLC is subpart of another organization.
Authorized Official
VIRGINIA RAZO
C.E.O.
Phone: (541) 247-3108
Updated
Identifiers

Identifiers for RUSH SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR240088
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 OR 07-1579

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.