OREGON SURGERY CENTER – NPI #1174528038
Clinic/Center

OREGON SURGERY CENTER is an AHC clinic located in ROSEBURG, OR. NPPES has assigned the NPI number 1174528038 to OREGON SURGERY CENTER on June 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OREGON SURGERY CENTER” is a dba name, the actual legal business name for this organization is AMBULATORY SURGERY CENTER OF ROSEBURG, LLC. 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 6 years ago on Aug 22, 2020. 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 OREGON SURGERY CENTER below.

NPI Profile for
AMBULATORY SURGERY CENTER OF ROSEBURG, LLC

NPI Number
1174528038
Enumeration Date

(about 21 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
AMBULATORY SURGERY CENTER OF ROSEBURG, LLC
Doing Business As (dba): OREGON SURGERY CENTER
Primary location
2801 NW MERCY DR
STE 200
ROSEBURG, OR 97470-2348
Phone: (541) 677-2800 Fax: (541) 677-2820
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VANESSA VU
CHIEF OPERATING OFFICER
Phone: (541) 677-2800
Updated
Identifiers

Identifiers for OREGON SURGERY CENTER

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
MEDICAIDOR100343
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 1542

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.