Organization Active NPI

Rush Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brookings, OR
National Provider Identifier
1164452249
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
07-1579 Issued in OR
Legal business name
RUSH SURGERY CENTER, LLC
Practice address
648 Chetco Avenue
Brookings, OR 97415
Phone
(541) 813-1835
Fax
(541) 813-1282
NPI assigned
Jul 4, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CURRY HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia A. Razo, PHARM. D
Title
C.E.O.
Phone
(541) 247-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 07-1579 OR Primary

Addresses

Primary practice location

648 Chetco Avenue
Brookings, OR 97415

Mailing address

94220 Fourth Street
Gold Beach, OR 97444
Phone (541) 247-3000

Other identifiers 1

IdentifierTypeStateIssuer
240088MedicaidOR

National Provider Directory

National Provider Directory
Part of
Curry General Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1164452249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94220 FOURTH STREET",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "97444",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CHETCO AVENUE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-813-1835",
            "fax_number": "541-813-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CURRY HEALTH DISTRICT",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "RAZO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "541-247-3108",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07-1579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240088",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.