Organization
BEND SURGERY CENTER LLC
Active
Other names
Bend Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1342 NE MEDICAL CENTER DR STE 170, BEND, OR 97701-5919
(541) 318-0858
(541) 318-6740
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
393625
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165497
—
OR
01
—
490003631
RAILROAD MEDICARE
OR
Enumeration date
08/24/2005
Last updated
08/30/2022
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