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NPI Code Detail

MEDICARE: BEND SURGERY CENTER LLC

MEDICARE: BEND SURGERY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center393625OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2490003631OTHERORRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376536482
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEND SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD # L&C
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6187
Country : US
Telephone Number : 615-240-3820
Fax Number : 615-234-1720
Provider Business Practice Location Address
First Line : 1342 NE MEDICAL CENTER DR STE 170
Second Line :
City : BEND
State : OR
Zip : 97701-5919
Country : US
Telephone Number : 541-318-0858
Fax Number : 541-318-6740
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 08/24/2005
Last Update Date : 08/30/2022

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Directions to “BEND SURGERY CENTER LLC ” Practice Location

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