Organization Active NPI

Salem Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Salem, OR
National Provider Identifier
1952929218
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SALEM AMBULATORY SURGERY CENTER, LLC
Practice address
700 Bellevue St SE
Salem, OR 97301-3819
Phone
(205) 451-7847
NPI assigned
Jul 13, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Kristen Hodge
Title
Authorized Official
Phone
(252) 702-5245

Specialties & licenses 1

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

Addresses

Primary practice location

700 Bellevue St SE
Salem, OR 97301-3819

Mailing address

1 Chase Corporate Dr Ste 200
Hoover, AL 35244-7060
Phone (205) 451-7847

National Provider Directory

National Provider Directory

Member of 2

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": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1952929218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447060",
            "telephone_number": "205-451-7847",
            "fax_number": "205-824-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "205-451-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "252-702-5245"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.