Organization Active NPI

NW Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Corvallis, OR
National Provider Identifier
1801210802
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NW SURGICAL CENTER LLC
Practice address
545 SW 2ND St
Corvallis, OR 97333-4466
Phone
(541) 929-2070
Fax
(541) 929-2170
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Pat Henry Rask, M.D.
Title
Owner
Phone
(541) 929-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

545 SW 2ND St
Corvallis, OR 97333-4466

Mailing address

545 SW 2ND St
Corvallis, OR 97333-4466
Phone (541) 929-2070

National Provider Directory

National Provider Directory

Locations

545 SW 2nd St
Corvallis, OR 97333
Phone (541) 929-2070

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1801210802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-929-2070",
            "fax_number": "541-929-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-929-2070",
            "fax_number": "541-929-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "RASK",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-929-2070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.