# CRATER LAKE SURGERY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679939318
- **Authorized official:** DR. JOSEPH SAVINO M.D. (MEMBER)
- **Authorized official phone:** (541) 779-5228

## Contact information

- **Practice address:** 833 BENNETT AVE, MEDFORD, OR 97504-6715
- **Practice address phone:** (541) 779-5228
- **Mailing address:** 825 BENNETT AVE, MEDFORD, OR 97504-6715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 06/18/2018