Organization
ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES, LLC
Active
Parent organization
SLOCUM ORTHOPEDICS PC
Other names
Slocum Ambulatory Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLOCUM ORTHOPEDICS PC
Authorized official
MR. JOHN BAUMAN (ADMINISTRATOR)
(541) 485-8111
Entity
Organization
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274618
—
OR
Enumeration date
04/09/2007
Last updated
04/08/2010
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