Active NPI
Rush Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Brookings, OR
National Provider Identifier
1164452249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 07-1579
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- CURRY HEALTH DISTRICT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240088 | Medicaid | OR |
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.
-
dba Curry General Hospital Swing Bed Program
- Critical Access Hospital
- Gold Beach, OR
- NPI 1861676652
Member Of
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.