River Road Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07 1529 Issued in OR

Legal business name

RIVER ROAD SURGERY CENTER LLC

Practice address

3099 River Rd S
Suite 100
Salem, OR 97302-9754

Phone

(503) 361-3094

Fax

(503) 485-2168

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rochell Ann Blair Holmes

Title

Business Office Supervisor

Phone

(503) 485-2584

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

River Road Surgery Center LLCCCN 38C0001037

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1487620472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-361-3094",
            "fax_number": "503-485-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-361-3094",
            "fax_number": "503-485-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROAD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ROCHELL",
        "authorized_official_middle_name": "ANN BLAIR",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "503-485-2584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07 1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239968",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rising Strong Counseling LLC
• Ryn Rising
• Rita Herlong PC
• Ellie Ritson
• Dina Sarai Rivas, LCSW
• River Valley Rheumatology & Infusions, Inc
• Jovanna Rivera Reyes
• Danica A Rivera
• Donita Rivera
• Erick Frederick Rivera, LCSW

• Ambulatory Surgical Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.