# SALEM AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1952929218
- **Authorized official:** KRISTEN HODGE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (252) 702-5245

## Contact information

- **Practice address:** 700 BELLEVUE ST SE, SALEM, OR 97301-3819
- **Practice address phone:** (205) 451-7847
- **Mailing address:** 1 CHASE CORPORATE DR STE 200, HOOVER, AL 35244-7060
- **Mailing address phone:** (205) 451-7847
- **Mailing address fax:** (205) 824-6251

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020