Organization
CASCADE SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMMY GILSTRAP CLINICAL DIRECTOR (CLINICAL DIRECTOR)
(541) 330-8671
Entity
Organization
Contact information
Practice address
2200 NE NEFF ROAD,, SUITE 100, BEND, OR 97701
(541) 330-8671
(541) 322-2394
Mailing address
2200 NE NEFF ROAD,, SUITE 100, BEND, OR 97701
(541) 330-8671
(541) 322-2394
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
08-00002864
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197167600
BLUE CROSS
—
01
—
197475
WA DEPT OF LABOR
—
01
—
269786
OMAP
—
01
—
33601
PACIFIC SOURCE HEALTH PLAN
OR
01
—
338161
PROVIDENCE HP
—
01
—
38C0001068
CCN (CMS CERTIFICATION NUMBER)
OR
01
—
610406200
US DEPT OF LABOR
—
01
—
P333601
PACIFIC SOURCE
—
Enumeration date
04/17/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us